FORM 1023-EZ for WEST MICHIGAN CANCER AWARENESS INITIATIVE

Field Data
EIN 36-4789293
Case Number EO-2018267-000040
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST MICHIGAN CANCER AWARENESS INITIATIVE
Organization’s Mailing Address 1194 N ROBINHOOD DR
City MUSKEGON
State MI
ZIP 49445
Accounting period End 12
Primary contact name ZANDRA MARIE BURREL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WANDA JEFFERSON
DIRECTOR
1194 N ROBINHOOD DR
MUSKEGON MI 49445

Officer/Director/Trustee Two

DARTANYA HAYES
DIRECTOR
3071 WOODCLIFFE DR
MUSKEGON HEIGHTS MI 49444

Officer/Director/Trustee Three

ALEXANDRA BURREL
DIRECTOR
624 E LINCOLN AVE
MUSKEGON HEIGHTS MI 49444

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/14
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DARTANYA HAYES
Signature Title DIRECTOR
Signature Date 9/19/18

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