FORM 1023-EZ for LIVING WELL WITH CANCER FOUNDATION

Field Data
EIN 83-1763108
Case Number EO-2019036-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING WELL WITH CANCER FOUNDATION
Organization’s Mailing Address 349 FREDERICK CIR
City HASTINGS
State MN
ZIP 55033-2645
Accounting period End 12
Primary contact name AARON K SCHALK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON SCHALK
DIRECTOR
349 FREDERICK CIR
HASTINGS MN 55033-2645

Officer/Director/Trustee Two

JASON GALLAGHER
SECRETARY
317 12TH ST
NEWPORT MN 55055-1168

Officer/Director/Trustee Three

NATASHA CARTER
TREASURER
206 PARK ST WEST
SOUTH SAINT PAUL MN 55075-3039

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State MN
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: 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 AARON SCHALK
Signature Title DIRECTOR
Signature Date 1/17/19

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