FORM 1023-EZ for PAM STEWART CANCER FOUNDATION INC

Field Data
EIN 84-4353512
Case Number EO-2020295-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAM STEWART CANCER FOUNDATION INC
Organization’s Mailing Address 511 LEE STREET
City SANDERSVILLE
State GA
ZIP 31082
Accounting period End 12
Primary contact name TREY STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREY STEWART
PRESIDENT
511 LEE STREET
SANDERSVILLE GA 31082

Officer/Director/Trustee Two

JOHN BROOKER JR
TREASURER
PO BOX 5704
SANDERSVILLE GA 31082

Officer/Director/Trustee Three

JANE FREDERICK
SECRETARY
876 MEEKS CEMETERY ROAD
KITE GA 31049

Officer/Director/Trustee Four

PAMELA STEWART
DIRECTOR
511 LEE STREET
SANDERSVILLE GA 31082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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 TREY STEWART
Signature Title PRESIDENT
Signature Date 10/13/2020

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