FORM 1023-EZ for CANCER CARE OF ALGER COUNTY

Field Data
EIN 81-3440459
Case Number EO-2017038-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCER CARE OF ALGER COUNTY
Organization’s Mailing Address P O BOX 274
City MUNISING
State MI
ZIP 49862
Accounting period End 12
Primary contact name HEATHER JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER JOHNSON
DIRECTOR
N77944 CARMODY RD
MUNISING MI 49862

Officer/Director/Trustee Two

DEBBIE NEDEAU
DIRECTOR
119 ELM AVE
MUNISING MI 49862

Officer/Director/Trustee Three

RON BROWE
ACCOUNTANT
1212 COMMERCIAL ST
MUNISING MI 49862

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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