FORM 1023-EZ for SOUTHEAST RADIATION ONCOLOGY FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-1440683 |
| Case Number | EO-2018218-000403 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SOUTHEAST RADIATION ONCOLOGY FOUNDATION |
| Organization’s Mailing Address | 1701 SALMON CREEK LANE |
| City | JUNEAU |
| State | AK |
| ZIP | 99801-7868 |
| Accounting period End | 12 |
| Primary contact name | CASSIE BURGESS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CASSIE BURGESS
PRESIDENT/REGISTERED AGENT
1701 SALMON CREEK LANE
JUNEAU AK 99801-7868
Officer/Director/Trustee Two
EUGENE HUANG
TREASURER
1701 SALMON CREEK LANE
JUNEAU AK 99801-7868
Officer/Director/Trustee Three
ALEX GONNSEN
SECRETARY
1701 SALMON CREEK LANE
JUNEAU AK 99801-7868
Officer/Director/Trustee Four
KELLY SMELSER
DIRECTOR
1701 SALMON CREEK LANE
JUNEAU AK 99801-7868
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/13/18 |
| Organization Incorporation State | AK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G12 - 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | CASSIE BURGESS |
| Signature Title | PRESIDENT/REGISTERED AGENT |
| Signature Date | 8/2/18 |
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