FORM 1023-EZ for CANCELLING OUT CHEMO

Field Data
EIN 84-4381656
Case Number EO-2020155-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCELLING OUT CHEMO
Organization’s Mailing Address 5716 NE MISTY MEADOW WAY
City LEES SUMMIT
State MO
ZIP 64064
Accounting period End 12
Primary contact name TRACY NAGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY NAGEL
PRESIDENT/DIRECTOR
5716 NE MISTY MEADOW WAY
LEES SUMMIT MO 64064

Officer/Director/Trustee Two

ANDREI COGAN
TREASURER/DIRECTOR
5716 NE MISTY MEADOW WAY
LEES SUMMIT MO 64064

Officer/Director/Trustee Three

KARLINTA MCKEEVER
SECRETARY/DIRECTOR
5716 NE MISTY MEADOW WAY
LEES SUMMIT MO 64064

Organization’s website N/A
Organization’s email TRACYANN789@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 TRACY NAGEL
Signature Title PRESIDENT/DIRECTOR
Signature Date 6/1/2020

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