FORM 1023-EZ for CAVALIER COUNTY CANCER CRUSADERS INC

Field Data
EIN 82-2743016
Case Number EO-2017257-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAVALIER COUNTY CANCER CRUSADERS INC
Organization’s Mailing Address 10123 95TH ST NE
City LANGDON
State ND
ZIP 58249
Accounting period End 12
Primary contact name KATHY MUHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY MUHS
PRESIDENT
10123 95TH ST NE
LANGDON ND 58249

Officer/Director/Trustee Two

RUNA ANDERSON
VICE-PRESIDENT
1820 9TH ST
LANGDON ND 58249

Officer/Director/Trustee Three

JESSICA TANK
SECRETARY
1917 10TH ST
LANGDON ND 58249

Officer/Director/Trustee Four

MICHELLE CAIN
TREASURER
9770 COUNTY 23
LANGDON ND 58249

Officer/Director/Trustee Five

ADRIAN OLSON
DIRECTOR
905 16TH AVE
LANGDON ND 58249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2017
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 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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