| Field | Data |
|---|---|
| EIN | 47-4543960 |
| Case Number | EO-2015216-000096 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | POLKA DOT MAMA MELANOMA FOUNDATION |
| Organization’s Mailing Address | 925 ALDEN BRIDGE DRIVE |
| City | CARY |
| State | NC |
| ZIP | 27519 |
| Accounting period End | 12 |
| Primary contact name | TRACY CALLAHAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
TRACY CALLAHAN
CEO
925 ALDEN BRIDGE
CARY NC 27519
MELISSA BRACKEN
TREASURER
105 NIMBUS COURT
CARY NC 27513
BILLY WILLIS
CHAIRPERSON
1404 BAKER ROAD
RALEIGH NC 27607
STEPHANIE REEL
VICECHAIRPERSON
2515 BOSTON STREET
BALTIMORE MD 21224
KIMBERLEY BASDEN
SECRETARY
3213 LEBRUN PATH
FUQUAY VARINA NC 27526
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/10/2015 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| 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 | Yes |
| 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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