FORM 1023-EZ for THE LISA PITTS ELEY CANCER FOUNDATION INC

Field Data
EIN 83-4500188
Case Number EO-2019121-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LISA PITTS ELEY CANCER FOUNDATION INC
Organization’s Mailing Address 12035 NORTH DICKINSON DR
City FREDERICKSBURG
State VA
ZIP 22407
Accounting period End 12
Primary contact name RAY ELEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAY ELEY
PRESIDENT/TREASURER
12035 NORTH DICKINSON DRIVE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Two

SAMANTHA TILLMAN
VICE PRESIDENT
12035 NORTH DICKINSON DRIVE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Three

MICHELLE TILLMAN
OFFICER
12035 NORTH DICKINSON DRIVE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Four

HEATHER TILLMAN
OFFICER
12035 NORTH DICKINSON DRIVE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Five

AMANDA TILLMAN
OFFICER
12035 NORTH DICKINSON DRIVE
FREDERICKSBURG VA 22407

Organization’s website
Organization’s email COACHELEY85@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 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 RAY ELEY
Signature Title PRESIDENT/TREASURER
Signature Date 4/29/19

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