FORM 1023-EZ for STRIKE OUT CANCER

Field Data
EIN 46-4694714
Case Number EO-2017235-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STRIKE OUT CANCER
Organization’s Mailing Address PO BOX 1504
City DALHART
State TX
ZIP 79022-1504
Accounting period End 12
Primary contact name JERI WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERI WARD
DIRECTOR, PRESIDENT, TREASURER
PO BOX 1504
DALHART TX 79022-1504

Officer/Director/Trustee Two

EDDIE BLANCO
DIRECTOR, VICE PRESIDENT
1705 DENROCK AVE
DALHART TX 79022-4843

Officer/Director/Trustee Three

KAREN LANG
DIRECTOR, SECRETARY
1505 E 6TH ST
DALHART TX 79022-4703

Officer/Director/Trustee Four

CARISSA MARTIN
DIRECTOR
921 N MISSISSIPPI ST
AMARILLO TX 79106-7157

Organization’s website
Organization’s email JERI@ALLIANCEIRRIGATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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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