FORM 1023-EZ for CHARLOTTE CANCER COALITION

Field Data
EIN 82-4146375
Case Number EO-2020080-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLOTTE CANCER COALITION
Organization’s Mailing Address 1169 SOUTH KINGS DRIVE
City CHARLOTTE
State NC
ZIP 28207-1805
Accounting period End 12
Primary contact name ASHLEY SUMRALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY SUMRALL
PRESIDENT
1169 SOUTH KINGS DRIVE
CHARLOTTE NC 28207-1805

Officer/Director/Trustee Two

ANN ELROD
CHAIR, FINANCE COMMITTEE
1021 MOREHEAD MEDICAL DRIVE
CHARLOTTE NC 28204-2990

Organization’s website WWW.CHARLOTTECANCERCOALITION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2012
Organization Incorporation State NC
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 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 Yes
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 ASHLEY SUMRALL
Signature Title PRESIDENT
Signature Date 3/18/2020

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