FORM 1023-EZ for CANCER AWARENESS AND RESOURCE NETWORK

Field Data
EIN 47-2430054
Case Number EO-2016123-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCER AWARENESS AND RESOURCE NETWORK
Organization’s Mailing Address 462 CARLSTON
City RIVER ROUGE
State MI
ZIP 48218
Accounting period End 12
Primary contact name KEITH WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH WHITE
EXECUTIVE DIRECTOR
462 CARLSTON
RIVER ROUGE MI 48218

Officer/Director/Trustee Two

FREDERICK SMITH
BOARD CHAIRPERSON
615 GRISWOLD AVE APT 925
DETROIT MI 48226

Officer/Director/Trustee Three

JIMMY COOPER
BOARD TREASURER
22 VILLAS CR
LITTLE ROCK AR 72223

Officer/Director/Trustee Four

DENISE BROOKS
BOARD SECRETARY
RIVERFRONT DR APT 611
DETROIT MI 48226

Officer/Director/Trustee Five

ALECIA GREEN-HARRIS
BOARD MEMBER
6583 STILLWELL
WEST BLOOMFIED MI 48322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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