FORM 1023-EZ for CANCER CONNECTED

Field Data
EIN 84-2415685
Case Number EO-2019199-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER CONNECTED
Organization’s Mailing Address 11941 W YEA
City PEORIA
State AZ
ZIP 85383
Accounting period End 5
Primary contact name TATUM M BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TATUM BENNETT
CEO
11941
PEORIA AZ 85383

Officer/Director/Trustee Two

PATRICIA RICHEY
PRESIDENT
14401 N 153RD DRIVE
SURPRISE AZ 85379

Officer/Director/Trustee Three

MELISSA RICHEY
VICE-PRESIDENT
4315 EILEEN STREET 10
SIMI VALLEY CA 93063

Officer/Director/Trustee Four

TYLER BENNETT
DIRECTOR
11941 W YEARLING CT
PEORIA AZ 85383

Organization’s website WWW.CANCERCONNECTED.ORG
Organization’s email CANCERCONNECTED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State AZ
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TATUM BENNETT
Signature Title CEO
Signature Date 7/16/19

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