FORM 1023-EZ for DOMINICS SOCK IT 2 CANCER FOUNDATION

Field Data
EIN 82-1309104
Case Number EO-2018095-000653
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINICS SOCK IT 2 CANCER FOUNDATION
Organization’s Mailing Address PO BOX 16104
City SHAWNEE
State KS
ZIP 66203
Accounting period End 12
Primary contact name WAYNE CHAPIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA JOHNSON
PRESIDENT
PO BOX 16104
SHAWNEE KS 66203

Officer/Director/Trustee Two

RUTH SNODGRASS
TREASURER
6717 WEST 72ND TERRACE
OVERLAND PARK KS 66204

Officer/Director/Trustee Three

CINDY SANCHEZ
DIRECTOR
11606 WEST 69TH TERRACE
SHAWNEE KS 66203

Officer/Director/Trustee Four

THOMAS STANION
DIRECTOR
21223 163RD STREET
BASEHOR KS 66007

Officer/Director/Trustee Five

STEVEN JOHNSON
VICE PRESIDENT
PO BOX 16104
SHAWNEE KS 66203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/17
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 SARA JOHNSON
Signature Title PRESIDENT
Signature Date 3/22/18

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