FORM 1023-EZ for COMMIT 2 CONQUER CANCER INC

Field Data
EIN 47-5603806
Case Number EO-2016221-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMIT 2 CONQUER CANCER INC
Organization’s Mailing Address 724553
City ATLANTA
State GA
ZIP 31139
Accounting period End 12
Primary contact name RHONDA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA WILLIAMS
CHIEF EXECUTIVE OFFICER/TREASURER
PO BOX 724553
ATLANTA GA 31139

Officer/Director/Trustee Two

LAKESHA SIMMONS
SECRETARY
PO BOX 724553
ATLANTA GA 31139

Officer/Director/Trustee Three

REGINA OFFODILE MD
INITIAL DIRECTOR
PO BOX 724553
ATLANTA GA 31139

Officer/Director/Trustee Four

CARLA ANDERSON LPC
INITIAL DIRECTOR
PO BOX 724553
ATLANTA GA 31139

Officer/Director/Trustee Five

KEITH ROGERS
INITIAL DIRECTOR
PO BOX 724553
ATLANTA GA 31139

Organization’s website WWW.COMMIT2CONQUER.ORG
Organization’s email INFO@COMMIT2CONQUER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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