FORM 1023-EZ for HARRISON COUNTY CANCER CRUSADERS

Field Data
EIN 81-3950523
Case Number EO-2016350-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARRISON COUNTY CANCER CRUSADERS
Organization’s Mailing Address 226 CHARLESTON ST
City CADIZ
State OH
ZIP 43907
Accounting period End 12
Primary contact name JULIE MCPEAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE MCPEAK
PRESIDENT
226 CHARLESTON ST
CADIZ OH 43907

Officer/Director/Trustee Two

ANDREA STARK
TREASURER
41340 DEERSVILLE RDGE
CADIZ OH 43907

Officer/Director/Trustee Three

LEROY DALTON
VICE PRESIDENT
PO BOX 295
HOPEDALE OH 43976

Officer/Director/Trustee Four

GINA FERRI
SECRETARY
111 CHESTNUT LANE
CADIZ OH 43907

Officer/Director/Trustee Five

LAURA COPE
BOARD MEMBER
459 PARK AVE
CADIZ OH 43907

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2016
Organization Incorporation State OH
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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