FORM 1023-EZ for PINK LADIES BREAST CANCER FOUNDATION INC

Field Data
EIN 85-2907953
Case Number EO-2021183-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINK LADIES BREAST CANCER FOUNDATION INC
Organization’s Mailing Address 1601-1 N MAIN ST 3159
City JACKSONVILLE
State FL
ZIP 32206
Accounting period End 12
Primary contact name TERALYN COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERALYN COLLINS
CEO
1601-1 N MAIN ST 3159
JACKSONVILLE FL 32206

Officer/Director/Trustee Two

BELINDA FULTON
PRESIDENT
1601-1 N MAIN ST 3159
JACKSONVILLE FL 32206

Officer/Director/Trustee Three

SHEILAH CHAMBERS
SECRETARY
1601-1 N MAIN ST 3159
JACKSONVILLE FL 32206

Officer/Director/Trustee Four

PEARLINE BURTON
DIRECTOR
1601-1 N MAIN ST 3159
JACKSONVILLE FL 32206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G32 - Breast Cancer
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 Yes
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 TERALYN COLLINS
Signature Title CEO
Signature Date 6/30/2021

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