FORM 1023-EZ for GAME OVER CANCER

Field Data
EIN 81-3233718
Case Number EO-2016201-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GAME OVER CANCER
Organization’s Mailing Address 339 WATERLOO DR
City WATERLOO
State NE
ZIP 68069
Accounting period End 12
Primary contact name CHRISTOPHER GANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER GANNON
PRESIDENT
14733 SPENCER ST
OMAHA NC 68116

Officer/Director/Trustee Two

ELLA HAAG
TREASURER
339 WATERLOO DR
WATERLOO NC 68069

Officer/Director/Trustee Three

ANN STRATTON
SECRETARY
16606 HOWARD CIRCLE
OMAHA NE 68118

Officer/Director/Trustee Four

ANDREW GANNON
OFFICER
1909 32ND ST
COLUMBUS NE 68601

Officer/Director/Trustee Five

MARK STEELE
OFFICER
2922 N 152ND ST
OMAHA NE 68116

Organization’s website
Organization’s email GAMEOVERCANCER@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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
Signature Title
Signature Date

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