FORM 1023-EZ for CANCER IMMUNOTHERAPY RESEARCH INSTITUTE

Field Data
EIN 81-3468587
Case Number EO-2017079-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCER IMMUNOTHERAPY RESEARCH INSTITUTE
Organization’s Mailing Address 408 SUNRISE AVE
City ROSEVILLE
State CA
ZIP 95661
Accounting period End 12
Primary contact name MICHAEL DEGREGORIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIN SOE
DIRECTOR
4031 ALAMO COURT
EL DORADO HILLS CA 95762

Officer/Director/Trustee Two

MICHAEL DEGREGORIO
DIRECTOR
7689 SHADOW OAKS LANE
GRANITE BAY CA 95746

Officer/Director/Trustee Three

MICHAEL JONES
CHAIRMAN
169 DULVERTON CIRCLE
FOLSOM CA 95648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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