FORM 1023-EZ for RIVER VALLEY SKIN CANCER ALLIANCE

Field Data
EIN 82-2462649
Case Number EO-2018128-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVER VALLEY SKIN CANCER ALLIANCE
Organization’s Mailing Address 856 OKLAHOMA AVE
City ARKOMA
State OK
ZIP 74901-3401
Accounting period End 7
Primary contact name KERRIE TABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRIE TABER
PRESIDENT/TREASURER
856 OKLAHOMA AVE
ARKOMA OK 74901-3401

Officer/Director/Trustee Two

CYNDI GLIDEWELL
VICE PRESIDENT
9700 BELHAVEN VIEW
FORT SMITH AR 72908-9045

Officer/Director/Trustee Three

SUSAN STEFFENS
SECRETARY
5515 AUSTIN KING RD
HUNTINGTON AR 72940-9782

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/17
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
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 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 KERRIE TABER
Signature Title PRESIDENT/TREASURER
Signature Date 4/28/18

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