FORM 1023-EZ for FIGHT SURVIVE CURE

Field Data
EIN 46-2614060
Case Number EO-2015190-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIGHT SURVIVE CURE
Organization’s Mailing Address PO BOX 6371
City ELGIN
State IL
ZIP 60121-6371
Accounting period End 12
Primary contact name MELISSA BEHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELLI BASKIEWICZ
DIRECTOR
947 KANE ST
SOUTH ELGIN IL 60177

Officer/Director/Trustee Two

MELISSA BEHM
DIRECTOR/PRES/TRES
384 PRAIRIE KNOLL DRIVE
POPLAR GROVE IL 61065

Officer/Director/Trustee Three

ANN BOTTOM
DIRECTOR
15 MELROSE CT
SOUTH ELGIN IL 60177

Officer/Director/Trustee Four

JERRY DALTON II
DIRECTOR/SEC
124 JOSLYN DR
ELGIN IL 60120

Officer/Director/Trustee Five

CHRISTINE SCHMITENDORF
DIRECTOR
12609 VENTURA
MACHESNEY PARK IL 61115

Organization’s website
Organization’s email FIGHTSURVIVECURE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2013
Organization Incorporation State IL
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: 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 Yes
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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