FORM 1023-EZ for SHRED CANCER ASSOCIATION

Field Data
EIN 83-3215836
Case Number EO-2019093-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHRED CANCER ASSOCIATION
Organization’s Mailing Address 1408 JAMI DR
City NORMAN
State OK
ZIP 73071
Accounting period End 12
Primary contact name AMANDA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTNEY RAINBOLT
CO-FOUNDER
1165 ROBIN HOOD LANE
NORMAN OK 73072

Officer/Director/Trustee Two

DILLON RAINBOLT
CO-FOUNDER
1511 FARO DR
AUSTIN TX 78741

Officer/Director/Trustee Three

AMANDA JONES
EXECUTIVE DIRECTOR
1408 JAMI DR
NORMAN OK 73071

Officer/Director/Trustee Four

PARKER SMITH
SPONSOR COORDINATOR
1161 OXFORD WAY
OKC OK 73120

Officer/Director/Trustee Five

BRANDON MARTINEZ
BRAND AMBASSADOR
1408 JAMI DR
NORMAN OK 73071

Organization’s website SHREDCANCER.NET
Organization’s email LETSSHREDCANCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 Yes
Donation of funds No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA JONES
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/1/19

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