FORM 1023-EZ for ANGELS OF CHILDHOOD CANCER FOUNDATION

Field Data
EIN 81-4302075
Case Number EO-2016350-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGELS OF CHILDHOOD CANCER FOUNDATION
Organization’s Mailing Address PO BOX 451
City ANNA
State OH
ZIP 45302
Accounting period End 12
Primary contact name MICHAEL MANGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MANGER
PRESIDENT
13675 AILES RD
ANNA OH 45302

Officer/Director/Trustee Two

DIANE MANGER
VICE-PRESIDENT
13675 AILES RD
ANNA OH 45302

Officer/Director/Trustee Three

JESSICA RICKERT
FINANCIAL OFFICER
407 RISHA DR
ANNA OH 45302

Officer/Director/Trustee Four

ASHLEY HOLTHAUS
SECRETARY
8348 HOYING RD
ANNA OH 45302

Officer/Director/Trustee Five

BRAD BISHOP
TRUSTEE
230 S VANDEMARK RD
SIDNEY OH 45365

Organization’s website
Organization’s email ACCF467@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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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