FORM 1023-EZ for LAVONDA M EARLEY CANCER FOUNDATION INC

Field Data
EIN 81-3259151
Case Number EO-2018053-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAVONDA M EARLEY CANCER FOUNDATION INC
Organization’s Mailing Address 9716 B REA ROAD NUMBER 144
City CHARLOTTE
State NC
ZIP 28277
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAVONDA EARLEY-STACEY
PRESIDENT
9716 B REA ROAD NUMBER 144
CHARLOTTE NC 28277

Officer/Director/Trustee Two

LAVONTE EARLEY-STACEY
VICE PRESIDENT
9716 B REA ROAD NUMBER 144
CHARLOTTE NC 28277

Officer/Director/Trustee Three

ERICA LAWRENCE
SECRETARY TREASURER
9716 B REA ROAD NUMBER 144
CHARLOTTE NC 28277

Officer/Director/Trustee Four

SCIANDRA HUSH
ADVISOR
5057 BROAD LEAF COURT
DALLAS NC 28034

Officer/Director/Trustee Five

VERONICA HALL
ADVISOR
3901 CHRISTIN GAMBLE COURT
BESSEMER CITY NC 28016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAVONDA EARLEY-STACEY
Signature Title PRESIDENT
Signature Date 2/17/18

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