FORM 1023-EZ for CARE PACKS FOR CANCER CAREGIVERS

Field Data
EIN 82-1157852
Case Number EO-2017268-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARE PACKS FOR CANCER CAREGIVERS
Organization’s Mailing Address PO BOX 11351
City FORT SMITH
State AR
ZIP 72917
Accounting period End 6
Primary contact name PAMELA J RANDOLPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON STRICKLAND
PRESIDENT
PO BOX 11351
FORT SMITH AR 72917

Officer/Director/Trustee Two

RONNETTA ROCKAMORE
VICE PRESIDENT
PO BOX 11351
FORT SMITH AR 72917

Officer/Director/Trustee Three

MICHAEL WINSTON
SECRETARY
PO BOX 11351
FORT SMITH AR 72917

Officer/Director/Trustee Four

WONDA WINSTON
TREASURER
PO BOX 11351
FORT SMITH AR 72917

Officer/Director/Trustee Five

YOLANDA MICHELLE WINSTON
DIRECTOR
PO BOX 11351
FORT SMITH AR 72917

Organization’s website WWW.CAREPACKSFORYOU.ORG
Organization’s email CAREPACKSFORYOU@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Donation of funds Yes
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 Yes
One Third Support Gifts No
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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