FORM 1023-EZ for CANCEL OUT HUNGER

Field Data
EIN 81-2990546
Case Number EO-2020024-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCEL OUT HUNGER
Organization’s Mailing Address 1400 E SOUTHERN AVE
City TEMPE
State AZ
ZIP 85282
Accounting period End 12
Primary contact name SUSAN CALLOZZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD MIESEN
PRESIDENT
1400 E SOUTHERN AVE
TEMPE AZ 85282-5693

Officer/Director/Trustee Two

ALEXIS FIREHAWK
DIRECTOR
1400 E SOUTHERN AVE
TEMPE AZ 85282-5693

Officer/Director/Trustee Three

NIKITA PATEL
DIRECTOR
1400 E SOUTHERN AVE
TEMPE AZ 85282-5693

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAD MIESEN
Signature Title PRESIDENT
Signature Date 1/22/2020
EIN 81-2990546
Case Number EO-2016179-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCEL OUT HUNGER
Organization’s Mailing Address 1400 E SOUTHERN STE 400
City TEMPE
State AZ
ZIP 85282
Accounting period End 12
Primary contact name SCOTT B CARPENTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT CARPENTER
DIRECTOR/PRESIDENT
1400 E SOUTHERN AVE STE 400
TEMPE AZ 85282

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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