FORM 1023-EZ for GLOBAL CANCER SOLUTIONS

Field Data
EIN 82-1505948
Case Number EO-2017135-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLOBAL CANCER SOLUTIONS
Organization’s Mailing Address 200 ANDOVER PARK E SUITE 3
City TUKWILA
State WA
ZIP 98188
Accounting period End 12
Primary contact name DEB ELLIFRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK CHEN
DIRECTOR
200 ANDOVER PARK E SUITE 3
TUKWILA WA 98188

Officer/Director/Trustee Two

LUCIA DAI
VICE DIRECTOR
239 SW 194TH PL
NORMANDY PARK WA 98166

Officer/Director/Trustee Three

DEBRA ELLIFRITT
TREASURER
200 ANDOVER PARK E SUITE 3
TUKWILA WA 98188

Officer/Director/Trustee Four

CAYLIN JENSEN
SECRETARY
200 ANDOVER PARK E SUITE 3
TUKWILA WA 98188

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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