FORM 1023-EZ for CROWNS AGAINST CANCER

Field Data
EIN 82-1254919
Case Number EO-2017138-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROWNS AGAINST CANCER
Organization’s Mailing Address 19801 COLMAN STREET
City CLINTON TWP
State MI
ZIP 48035-4021
Accounting period End 12
Primary contact name RIA PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ILINCA CALUSER
DIRECTOR AND PRESIDENT
19801 COLMAN STREET
CLINTON TWP MI 48035-4021

Officer/Director/Trustee Two

RIA PEREZ
DIRECTOR AND VICE PRESIDENT
38922 SUTTON DRIVE
STERLING HEIGHTS MI 48310-2879

Officer/Director/Trustee Three

JESSICA KRUTELL
DIRECTOR AND VICE PRESIDENT
21634 ERBEN STREET
ST. CLAIR SHORES MI 48081-2841

Officer/Director/Trustee Four

JULIE NASUTI
DIRECTOR AND SECRETARY/TREASURER
37257 ANDREW DRIVE
STERLING HEIGHTS MI 48313-1815

Organization’s website N/A
Organization’s email CROWNSAGAINSTCANCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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