FORM 1023-EZ for RUMBLE AGAINST CHILDHOOD CANCER FOUNDATION

Field Data
EIN 81-4165028
Case Number EO-2016328-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUMBLE AGAINST CHILDHOOD CANCER FOUNDATION
Organization’s Mailing Address 2506 LAKELAND DR STE 200
City FLOWOOD
State MS
ZIP 39232-7655
Accounting period End 12
Primary contact name KYM LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYM LEWIS
PRESIDENT
2506 LAKELAND DR STE 200
FLOWOOD MS 39232-7655

Officer/Director/Trustee Two

RICHARD LEWIS
TREASURER
602 OAKLEIGH PL
BRANDON MS 39047-6363

Officer/Director/Trustee Three

WIL SEXTON
DIRECTOR
201 OAK BROOK CV
FLORENCE MS 39073-5005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 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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