FORM 1023-EZ for CANCER PUCKS

Field Data
EIN 84-2960770
Case Number EO-2019260-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER PUCKS
Organization’s Mailing Address 3209 HAUGHTON DRIVE
City TOLEDO
State OH
ZIP 43606
Accounting period End 6
Primary contact name BRANDON GYORI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON GYORI
PRESIDENT/DIRECTOR
3209 HAUGHTON DRIVE
TOLEDO OH 43606

Officer/Director/Trustee Two

KARLIE LOKUTA
VICE-PRESIDENT/DIRECTOR
3209 HAUGHTON DRIVE
TOLEDO OH 43606

Officer/Director/Trustee Three

MITCHEL PERRY
DIRECTOR
3209 HAUGHTON DRIVE
TOLEDO OH 43606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 KARLIE LOKUTA
Signature Title VICE-PRESIDENT/DIRECTOR
Signature Date 9/15/19

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