FORM 1023-EZ for CANCER FOUNDATION OF AMERICA INC

Field Data
EIN 83-3563316
Case Number EO-2019133-000490
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER FOUNDATION OF AMERICA INC
Organization’s Mailing Address 14871 KEYLIME BLVD
City LOXAHATCHEE
State FL
ZIP 33470
Accounting period End 12
Primary contact name RACHEL SHAPIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL SHAPIRO
PRESIDENT, DIRECTOR
14871 KEYLIME BLVD
LOXAHATCHEE FL 33470

Officer/Director/Trustee Two

KINDRA MOGK
SECRETARY, DIRECTOR
500 IVY AVE
PALM BEACH GARDENS FL 33410

Officer/Director/Trustee Three

JOSEPH IDONE
TREASURER, DIRECTOR
6109 SPRING ISLES BLVD
LAKE WORTH FL 33463

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 RACHEL SHAPIRO
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/10/19

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