FORM 1023-EZ for SOUTHEAST UROLOGIC ONCOLOGY FOUNDATION

Field Data
EIN 83-1617803
Case Number EO-2018283-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHEAST UROLOGIC ONCOLOGY FOUNDATION
Organization’s Mailing Address 325 HAWTHORNE LANE STE 300
City CHARLOTTE
State NC
ZIP 28204-2433
Accounting period End 12
Primary contact name DANIEL WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL WATSON
DIRECTOR & PRESIDENT
325 HAWTHORNE LANE STE 300
CHARLOTTE NC 28204-2433

Officer/Director/Trustee Two

CHRIS CECIL
DIRECTOR & VICE PRESIDENT
6836 MORRISON BLVD STE 100
CHARLOTTE NC 28211-2667

Officer/Director/Trustee Three

ALLEN TATE
DIRECTOR & SECRETARY
6700 FAIRVIEW ROAD STE 300
CHARLOTTE NC 28210-3324

Officer/Director/Trustee Four

WILLIAM HADLEY
DIRECTOR & TREASURER
301 S COLLEGE STREET SUITE 150
CHARLOTTE NC 28202-6004

Organization’s website N/A
Organization’s email DLWATSON5237@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/18
Organization Incorporation State NC
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: Yes
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 DANIEL WATSON
Signature Title DIRECTOR & PRESIDENT
Signature Date 10/8/18

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