FORM 1023-EZ for AA CANCER FOUNDATION INC

Field Data
EIN 86-1937085
Case Number EO-2021093-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AA CANCER FOUNDATION INC
Organization’s Mailing Address 17903 SAN GABRIEL AVE
City CERRITOS
State CA
ZIP 90703
Accounting period End 12
Primary contact name CAROLYN ANTES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN ANTES
DIRECTOR
17903 SAN GABRIEL AVE
CERRITOS CA 90703

Officer/Director/Trustee Two

CLEAYA ANTES
OFFICER
17903 SAN GABRIEL AVE
CERRITOS CA 90703

Organization’s website https://aacancer.foundation
Organization’s email aacancer16@yahoo.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 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 CAROLYN ANTES
Signature Title DIRECTOR
Signature Date 2/28/2021

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