FORM 1023-EZ for CANCER NOT MY FRIEND

Field Data
EIN 86-3165020
Case Number EO-2021105-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER NOT MY FRIEND
Organization’s Mailing Address 475 CONCORD LANE SE
City SMYRNA
State GA
ZIP 30082
Accounting period End 12
Primary contact name SHIRLENE STAFFORD REEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUAYVIUS D JONES
PRESIDENT
475 CONCORD LANE SE
SMYRNA GA 30082

Officer/Director/Trustee Two

SHIRLENE STAFFORD REEVES
SECRETARY
475 CONCORD LANE SE
SMYRNA GA 30082

Officer/Director/Trustee Three

CEDRIC JONES
TREASURER
600 GREENSFERRY AVE SE
ATLANTA GA 30314

Officer/Director/Trustee Four

NATASHA MCCLOUD
ADVISOR
13851 NEWPORT SHORES DR
HUDSON FL 34669-1287

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
Organization Incorporation State GA
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: Yes
Educational: Yes
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 SHIRLENE STAFFORD REEVES
Signature Title SECRETARY
Signature Date 4/13/2021

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