FORM 1023-EZ for CAREFUL CHOICES CANCER CARE SUPPORTSERVICES

Field Data
EIN 82-1164523
Case Number EO-2017173-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAREFUL CHOICES CANCER CARE SUPPORTSERVICES
Organization’s Mailing Address 71 BLAKE AVE
City WATSONVILLE
State CA
ZIP 95076
Accounting period End 12
Primary contact name DEBRA BLIESNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS CURTIN
TREASURER
107 OAKLAND AVE
CAPITOLA CA 95010

Officer/Director/Trustee Two

CAROL MUSCOE
SECRETARY
160 TIMBER LANE
MARQUETTE MI 49855

Officer/Director/Trustee Three

DEBRA BLIESNER
PRESIDENT/CHIEF EXECUTIVE OFFICER
71 BLAKE AVE
WATSONVILLE CA 95076

Officer/Director/Trustee Four

ANNIE MURPHY
VOTING MEMBER
690 35TH AVE
SANTA CRUZ CA 95062

Organization’s website HTTP://CAREFULCHOICESCANCERCARE.WEEBLY.COM
Organization’s email DEBRA@CAREFUL-CHOICES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2017
Organization Incorporation State CA
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: 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 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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