FORM 1023-EZ for ASSOCIATION OF CANCER SYSTEMS BIOLOGISTS

Field Data
EIN 84-2110890
Case Number EO-2019182-000448
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION OF CANCER SYSTEMS BIOLOGISTS
Organization’s Mailing Address 4121G ENGINEERING V
City LOS ANGELES
State CA
ZIP 90095
Accounting period End 12
Primary contact name AARON MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA GOSLINE
CEO
2901 3RD AVENUE SUITE 330
SEATTLE WA 98121

Officer/Director/Trustee Two

JAMES COSTELLO
SECRETARY
12801 E 17TH AVE RM L18-6114
AURORA CO 80045

Officer/Director/Trustee Three

AARON MEYER
CFO
4121G ENGINEERING V
LOS ANGELES CA 90095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
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 AARON MEYER
Signature Title CFO
Signature Date 6/27/19

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