FORM 1023-EZ for BREAST CANCER MOVE FOUNDATION

Field Data
EIN 84-2432214
Case Number EO-2019210-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAST CANCER MOVE FOUNDATION
Organization’s Mailing Address 43709 MAHOGANY RUN COURT
City LEESBURG
State VA
ZIP 20176-3432
Accounting period End 12
Primary contact name TANJA S PALMER THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANJA S PALMER THOMPSON
PRESIDENT INCORPORATOR
43709 MAHOGANY RUN COURT
LEESBURG VA 20176-3432

Officer/Director/Trustee Two

TYSNE VEGAS THOMPSON
VICE PRESIDENT
43709 MAHOGANY RUN COURT
LEESBURG VA 20176-3432

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TANJA S PALMER THOMPSON
Signature Title PRESIDENT INCORPORATOR
Signature Date 7/26/19

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