FORM 1023-EZ for ARCTIC I CAN SURVIVE CANCER

Field Data
EIN 27-1130458
Case Number EO-2014344-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCTIC I CAN SURVIVE CANCER
Organization’s Mailing Address PO BOX 610
City NOME
State AK
ZIP 99762-0610
Accounting period End 12
Primary contact name NANCY L MCGUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NANCY L MCGUIRE
PRESIDENT
PO BOX 456
NOME AK 99762-0456

Officer/Director/Trustee Two

JANA VARRATI
VICE-PRESIDENT
PO BOX 814
NOME AK 99762-0814

Officer/Director/Trustee Three

CHARLES B TRAINOR
SECRETARY, TREASURER
PO BOX 962
NOME AK 99762-0962

Officer/Director/Trustee Four

BEN ESCH
DIRECTOR
PO BOX 814
NOME AK 99762-0962

Organization’s website
Organization’s email NANCYM@NOMENUGGET.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2009
Organization Incorporation State AK
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 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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