| Field | Data |
|---|---|
| EIN | 87-1279431 |
| Case Number | EO-2021173-000101 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHARLIES CHAMPIONS CHILDHOOD CANCERFOUNDATION |
| Organization’s Mailing Address | 179 PINNACLE DRIVE |
| City | HIGH POINT |
| State | NC |
| ZIP | 27265 |
| Accounting period End | 12 |
| Primary contact name | TEDMAN MYERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JASON HARTLEY
OFFICER
168 ROYAL ASHDOWN LANE
LEXINGTON NC 27295
BRAD SHOAF
OFFICER
555 JERUSALEM ROAD
LEXINGTON NC 27292
JENNIFER NORMAN
OFFICER
500 ROWE ROAD
LEXINGTON NC 27295
STEPHEN ROYALS
OFFICER
179 PINNACLE DRIVE
HIGH POINT NC 27265
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/18/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | BRAD SHOAF |
| Signature Title | OFFICER |
| Signature Date | 6/18/2021 |
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