FORM 1023-EZ for BOOST FOR A CURE CANCER ALLIANCE

Field Data
EIN 46-4963830
Case Number EO-2016077-000053
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOOST FOR A CURE CANCER ALLIANCE
Organization’s Mailing Address 9800 HEMINGWAY AVENUE SOUTH
City COTTAGE GROVE
State MN
ZIP 55016
Accounting period End 3
Primary contact name HEATHER CAREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER CAREY
PRESIDENT
9461 DUNES LN
COTTAGE GROVE MN 55016

Officer/Director/Trustee Two

CHRISTOPHER CAREY
VICE PRESIDENT
9461 DUNES LN
COTTAGE GROVE MN 55016

Officer/Director/Trustee Three

DANIEL CAREY
SECRETARY
8671 JOLIET AVE S
COTTAGE GROVE MN 55016

Officer/Director/Trustee Four

WILLAIM TSCHIDA
TREASURER
11944 BAYPOINT DR
BURNSVILLE MN 55337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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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