FORM 1023-EZ for CXPA CANCER FOUNDATION INC

Field Data
EIN 47-2986482
Case Number EO-2015140-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CXPA CANCER FOUNDATION INC
Organization’s Mailing Address 11902 LITTLE ROAD
City NEW PORT RICHEY
State FL
ZIP 34654
Accounting period End 12
Primary contact name RICHARD HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD HAYES
PRESIDENT
10443 MIRACLE LANE
NEW PORT RICHEY FL 34654

Officer/Director/Trustee Two

LISA HAYES
VICE PRESIDENT
10443 MIRACLE LANE
NEW PORT RICHEY FL 34654

Officer/Director/Trustee Three

MICHAEL HUGHES
SECRETARY
5530 HEREFORD DRIVE
NEW PORT RICHEY FL 34655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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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