FORM 1023-EZ for ARIZONA PROSTATE CANCER COALITION INC

Field Data
EIN 84-4631074
Case Number EO-2020049-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA PROSTATE CANCER COALITION INC
Organization’s Mailing Address 19305 E OCOTILLO RD
City QUEEN CREEK
State AZ
ZIP 85142-8375
Accounting period End 9
Primary contact name DONALD B WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OTTO SANKEY
CHAIR
19305 E OCOTILLO RD
QUEEN CREEK AZ 85142-8375

Officer/Director/Trustee Two

DONALD WILLIAMS
VICE CHAIR
1338 W CLEAR SPRING DR
GILBERT AZ 85233-6600

Officer/Director/Trustee Three

JESSICA WELLS
SECRETARY-TREASURER
700 W WARNER RD
CHANDLER AZ 85225-2928

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 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 DONALD WILLIAMS
Signature Title VICE CHAIR
Signature Date 2/13/2020

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