FORM 1023-EZ for COASTERS 4 CANCER

Field Data
EIN 81-5235306
Case Number EO-2017130-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COASTERS 4 CANCER
Organization’s Mailing Address 10429 S 51ST STREET STE 207
City PHOENIX
State AZ
ZIP 85044
Accounting period End 4
Primary contact name TATYANNA BRENNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TATYANNA BRENNER
DIRECTOR
10429 S 51ST STREET STE 207
PHOENIX AZ 85044

Organization’s website
Organization’s email COASTERS4CANCER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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
Signature Title
Signature Date

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