FORM 1023-EZ for JIMMY CRABTREE CANCER FUND INC

Field Data
EIN 47-2593620
Case Number EO-2015146-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JIMMY CRABTREE CANCER FUND INC
Organization’s Mailing Address 174 ROPER DRIVE
City WINTER GARDEN
State FL
ZIP 34787
Accounting period End 6
Primary contact name ANDREW CRABTREE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW CRABTREE
PRESIDENT
238 N HIGHLAND AVE
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

KAREN CRABTREE
1ST V PRESIDENT
220 N MAIN ST
WINTER GARDEN FL 34787

Officer/Director/Trustee Three

LORIE CRABTREE
2ND V PRESIDENT
1256 OAK ST
OCOEE FL 34761

Officer/Director/Trustee Four

SUSAN CRABTREE
SEC TREAS
174 ROPER DRIVE
WINTER GARDEN FL 34787

Officer/Director/Trustee Five

GEORGE CRABTREE
3RD V PRESIDENT
174 ROPER DRIVE
WINTER GARDEN FL 34787

Organization’s website JCCANCERFUND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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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