FORM 1023-EZ for CRC BREAST CANCER CHARITY

Field Data
EIN 87-2819055
Case Number EO-2021279-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRC BREAST CANCER CHARITY
Organization’s Mailing Address 4916 EL DON DR
City ROCKLIN
State CA
ZIP 95677
Accounting period End 12
Primary contact name DOUGLAS COCHRANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS COCHRANE
CFO - PRESIDENT
4916 EL DON DR
ROCKLIN CA 95677

Officer/Director/Trustee Two

VICTORIA ENDRES
SECRETARY
4916 EL DON DR
ROCKLIN CA 95677

Organization’s website
Organization’s email RR3795630@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 No
Signature Name DOUGLAS COCHRANE
Signature Title CFO - PRESIDENT
Signature Date 10/4/2021

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