FORM 1023-EZ for CARES FOR CANCER NFP

Field Data
EIN 37-1908601
Case Number EO-2018274-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARES FOR CANCER NFP
Organization’s Mailing Address 11123 S HOMAN AVE
City CHICAGO
State IL
ZIP 60655-3503
Accounting period End 12
Primary contact name THOMAS SIEJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS SIEJA
PRESIDENT
11123 SOUTH HOMAN AVE
CHICAGO IL 60655-3503

Officer/Director/Trustee Two

BRIAN NYBERG
TREASURER
5128 SOUTH MAJOR AVE
CHICAGO IL 60638

Officer/Director/Trustee Three

BARBARA GATES
SECRETARY
1304 DAUPHIN DRIVE
PLAINFIELD IL 60431

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 THOMAS SIEJA
Signature Title PRESIDENT
Signature Date 9/28/18

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