FORM 1023-EZ for CANCER CONCERN COALITION

Field Data
EIN 31-1697403
Case Number EO-2019214-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER CONCERN COALITION
Organization’s Mailing Address PO BOX 912
City ZANESVILLE
State OH
ZIP 43701
Accounting period End 12
Primary contact name MICHELE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE MILLER
CO-CHAIR
PO BOX 912
ZANESVILLE OH 43701

Officer/Director/Trustee Two

CATHY LEARN
CO-CHAIR
PO BOX 912
ZANESVILLE OH 43701

Officer/Director/Trustee Three

NICOLE GREGG
TREASURER
PO BOX 912
ZANESVILLE OH 43701

Officer/Director/Trustee Four

LEIGH ANNE HEHR
MEMBERSHIP
PO BOX 912
ZANESVILLE OH 43701

Officer/Director/Trustee Five

SHANNON WHITE
SECRETARY
PO BOX 912
ZANESVILLE OH 43701

Organization’s website HTTPS://WWW.FACEBOOK.COM/CANCERCONCERNCOALITION
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/03
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
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 Yes
Correctness Declaration Yes
Signature Name MICHELE MILLER
Signature Title CO-CHAIR
Signature Date 7/31/19
EIN 31-1697403
Case Number EO-2014321-000482
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCER CONCERN COALTION
Organization’s Mailing Address PO BOX 912
City ZANESVILLE
State OH
ZIP 43702-0912
Accounting period End 12
Primary contact name WENDY LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON WHITE
CHAIRPERSON
P O BOX 912
ZANESVILLE OH 43702-0912

Officer/Director/Trustee Two

WENDY LONG
SECRETARY
P O BOX 912
ZANESVILLE OH 43702-0912

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2003
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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