| Field | Data |
|---|---|
| EIN | 47-2428717 |
| Case Number | EO-2015037-000039 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | POULOS CHILDRENS CANCER FOUNDATIONINC |
| Organization’s Mailing Address | 4388 LAWRENCEVILLE HIGHWAY |
| City | TUCKER |
| State | GA |
| ZIP | 30084 |
| Accounting period End | 11 |
| Primary contact name | ANDREW G POULOS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
ANDREW POULOS
DIRECTOR, PRESIDENT
4388 LAWRENCEVILLE HIGHWAY
TUCKER GA 30084
BRIAN HOSCH
BOARD OF DIRECTOR
3350 RIVERWOOD PARKWAY SUITE 1900
ATLANTA GA 30339
MAZIAR MAZLOOM
BOARD OF DIRECTOR
250 LAWRENCE STREET
MARIETTA GA 30060
SCOTT CYTRON
BOARD OF DIRECTOR
11119 MIDWAY ROAD
DALLAS TX 75229
QUINN GREEN
BOARD OF DIRECTOR
2991 ROLLING MEADOWS COURT
LITHONIA GA 30058
| Organization’s website | WWW.POULOSCHILDRENSCANCERFOUNDATION.ORG |
|---|---|
| Organization’s email | ANDREW@POULOSCHILDRENSCANCERFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/3/2014 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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