| Field | Data |
|---|---|
| EIN | 84-3651534 |
| Case Number | EO-2020027-000159 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ZACH FARMER CANCER ASSISTANCE FOUNDATION |
| Organization’s Mailing Address | 692 WAKEFIELD MOUND ROAD |
| City | PIKETON |
| State | OH |
| ZIP | 45661 |
| Accounting period End | 12 |
| Primary contact name | LARRY FARMER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
GENE BUMGARDNER
PRESIDENT
4228 BEAVER CREEK ROAD
WAVERLY OH 45690
KIM BENNETT
VICE PRESIDENT
6260 HARPER CIRCLE
MECHANICSBURG OH 43044
CHRISTINE BRABSON
SECRETARY
424 MARKET STREET
PIKETON OH 45661
KIM MOORE
TREASURER
123
PIKETON OH 45661
LARRY FARMER
FUNDRAISING DIRECTOR
692 WAKEFIELD MOUND ROAD
PIKETON OH 45661
| Organization’s website | |
|---|---|
| Organization’s email | ZACHFARMERFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/28/2019 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - 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 | 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 | 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 | LARRY FARMER |
| Signature Title | FUNDRAISING DIRECTOR |
| Signature Date | 1/23/2020 |
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