| Field | Data |
|---|---|
| EIN | 26-2637868 |
| Case Number | EO-2019079-000363 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ELLSWORTH COUNTY CANCER FUND |
| Organization’s Mailing Address | 122 N DOUGLAS |
| City | ELLSWORTH |
| State | KS |
| ZIP | 67439 |
| Accounting period End | 12 |
| Primary contact name | DEBBIE MOG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DEBBIE MOG
CHAIR
115 HONEYSUCKLE DRIVE
ELLSWORTH KS 67439
SHANNON MOG
VICE-CHAIR
1404 N DOUGLAS
ELLSWORTH KS 67439
CHARLENE ZELENKA
SECRETARY
518 30TH STREET
WILSON KS 67490
VICKI WACKER
TREASURER
PO BOX 273
KANOPOLIS KS 67454
HANK CARREON
BOARDMEMBER
1055 6TH ROAD
WILSON KS 67490
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/17/19 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | DEBBIE MOG |
| Signature Title | CHAIR |
| Signature Date | 3/17/19 |
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