| Field | Data |
|---|---|
| EIN | 84-2180497 |
| Case Number | EO-2019357-000387 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PUERTO RICAN CANCER KIDNEY FOUNDATION |
| Organization’s Mailing Address | 914 BRANDON WAY |
| City | FAIRFIELD |
| State | CA |
| ZIP | 94533 |
| Accounting period End | 12 |
| Primary contact name | FELIX POLANCO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANN MARIE PITTMAN
PRESIDENT
621 TIBURON LANE
VACAVILLE CA 95687
SARA LEIS
SECRETARY
730 MEADOWHAWK
VACAVILLE CA 95687
NILDA ROBLES
TREASURER
401 ACACIA STREET APT A
VACAVILLE CA 95688
FELIX POLANCO
SUPERVISOR
913 BRANDON WAY
FAIRFILED CA 94533
FERDINAND GONZALEZ
PRESIDENT
807 RAVEN DRIVE
VACAVILLE CA 95687
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/2/2019 |
| Organization Incorporation State | CA |
| 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: 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 | 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 | 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 | FELIX POLANCO |
| Signature Title | SUPERVISOR |
| Signature Date | 12/19/2019 |
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