FORM 1023-EZ for DRAYSONTATE CHILDRENS CANCER RESEARCH FUND LTD NFP

Field Data
EIN 85-1513281
Case Number EO-2020174-000759
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DRAYSONTATE CHILDRENS CANCER RESEARCH FUND LTD NFP
Organization’s Mailing Address 8311 COYOTE CREEK DR
City PEORIA
State IL
ZIP 61607
Accounting period End 12
Primary contact name JAMES CLARAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CLARAHAN
EXECUTIVE DIRECTOR
8311 COYOTE CREEK DR
PEORIA IL 61607

Officer/Director/Trustee Two

DONIVINE STEWART
ASSISTANT DIRECTOR
6623 N GREENMONT RD
PEORIA IL 61614

Officer/Director/Trustee Three

PAYTON STEWART
ASSISTANT DIRECTOR
6623 N GREENMONT RD
PEORIA IL 61614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 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 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 JAMES CLARAHAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/20/2020

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