FORM 1023-EZ for K CANCER BASEBALL NFP

Field Data
EIN 47-1347313
Case Number EO-2014256-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name K CANCER BASEBALL NFP
Organization’s Mailing Address 11759 RIVER HILLS PARKWAY
City ROCKTON
State IL
ZIP 61072
Accounting period End 12
Primary contact name RANDAL RAPIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDAL RAPIER
PRESIDENT
11759 RIVER HILLS PARKWAY
ROCKTON IL 61072

Officer/Director/Trustee Two

DAN DOMBERG
SECRETARY/TREASURER
12560 ARROWWOOD LANE
BELVIDERE IL 61008

Officer/Director/Trustee Three

JERRY ASHENS
BOARD MEMBER
11867 PONY LANE
BELVIDERE IL 61008

Officer/Director/Trustee Four

AMY MORRIS
BOARD MEMBER
20701 GRADE SCHOOL ROAD
CALEDONIA IL 61011

Organization’s website KCANCERBASEBALL.WORDPRESS.COM
Organization’s email KCANCERBASEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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