FORM 1023-EZ for WORTMAN LUNG CANCER FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-1025060 |
| Case Number | EO-2014234-000217 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WORTMAN LUNG CANCER FOUNDATION |
| Organization’s Mailing Address | 321 5TH AVENUE NW APT 3 |
| City | ROCHESTER |
| State | MN |
| ZIP | 55901 |
| Accounting period End | 12 |
| Primary contact name | LINDA L WORTMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LINDA L WORTMAN
PRESIDENT, OFFICER
PO BOX 160718
BIG SKY MT 59716
Officer/Director/Trustee Two
JULIE YOST
VICE PRESIDEN, OFFICER
MAYO CLINIC
ROCHESTER MN 55901
Officer/Director/Trustee Three
STEPHANIE MANN
CO-SECRETARY, OFFICER
MAYO CLINIC
ROCHESTER MN 55901
Officer/Director/Trustee Four
FRAN RIPPLE
CO-SECRETARY, OFFICER
MAYO CLINIC
ROCHESTER MN 55901
Officer/Director/Trustee Five
JERRY WORTMAN
TREASURER, OFFICER
PO BOX 160718
BIG SKY MT 55901
| Organization’s website | WORTMANLUNGCANCERFOUNDATION.COM |
|---|---|
| Organization’s email | WORTMANSINTHESKY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/9/2014 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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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