FORM 1023-EZ for SHOOT DOWN KIDS CANCER FOUNDATION

Field Data
EIN 30-6693083
Case Number EO-2021091-000740
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHOOT DOWN KIDS CANCER FOUNDATION
Organization’s Mailing Address 2425 TAMIAMI TRAIL N STE 211
City NAPLES
State FL
ZIP 34103
Accounting period End 12
Primary contact name DON HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON HENDERSON
PRESIDENT AND TRUSTEE
340 CAPE MARCO DRIVE UNIT 2101
MARCO ISLAND FL 34145

Officer/Director/Trustee Two

GARY LANDIS
VICE PRESIDENT AND TRUSTEE
2425 TAMIAMI TRAIL N STE 211
NAPLES FL 34103

Officer/Director/Trustee Three

RON RUTLEDGE
TREASURER AND TRUSTEE
2425 TAMIAMI TRAIL N STE 211
NAPLES FL 34103

Officer/Director/Trustee Four

RON MYERS
SECRETARY AND TRUSTEE
2425 TAMIAMI TRAIL N STE 211
NAPLES FL 34103

Officer/Director/Trustee Five

ERIC PETERSON
TRUSTEE
2425 TAMIAMI TRAIL N STE 211
NAPLES FL 34103

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2020
Organization Incorporation State FL
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: Yes
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 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 DON HENDERSON
Signature Title PRESIDENT AND TRUSTEE
Signature Date 2/22/2021

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