FORM 1023-EZ for CROSS PLAINS COMMUNITY CANCER FUNDINC

Field Data
EIN 47-1790961
Case Number EO-2015128-000520
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSS PLAINS COMMUNITY CANCER FUNDINC
Organization’s Mailing Address P O BOX 183
City CROSS PLAINS
State TX
ZIP 76443
Accounting period End 12
Primary contact name SUSAN J SCHAEFER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CINDY PAYNE
PRES
6198 PR 4451
CROSS PLAINS TX 76443

Officer/Director/Trustee Two

DANNES TURNER
SEC
20959 SH 206
CROSS PLAINS TX 76443

Officer/Director/Trustee Three

DAVID ESTES
TREAS
625 CR 240
RISING STAR TX 76443

Officer/Director/Trustee Four

SUSAN SCHAEFER
CPA
209 NW MAIN
CROSS PLAINS TX 76443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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
Signature Title
Signature Date

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