FORM 1023-EZ for AD CANCER FOUNDATION

Field Data
EIN 85-0850675
Case Number EO-2020121-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AD CANCER FOUNDATION
Organization’s Mailing Address 595 JACKSON ROAD
City HATTIESBURG
State MS
ZIP 39402
Accounting period End 4
Primary contact name KRYSTAL PRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRYSTAL PRICE
FOUNDER
595 JACKSON ROAD
HATTIESBURG MS 39402

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State MS
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 KRYSTAL PRICE
Signature Title FOUNDER
Signature Date 4/28/2020

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