FORM 1023-EZ for UTERINE CANCER AWARENESS NETWORK INC

Field Data
EIN 84-3083439
Case Number EO-2019263-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTERINE CANCER AWARENESS NETWORK INC
Organization’s Mailing Address 544 TRADEWINDS DRIVE APT 10
City ESSEXVILLE
State MI
ZIP 48732
Accounting period End 12
Primary contact name SHAKEYA ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAKEYA ALLEN
PRESIDENT
544 TRADEWINDS DRIVE APT 10
ESSEXVILLE MI 48732

Officer/Director/Trustee Two

REGINA RICE
VICE PRESIDENT
5901 S MAY STREET
OKLAHOMA CITY OK 73119

Officer/Director/Trustee Three

JENNIFER GOOLSBY
SECRETARY
607 36TH STREET
BAY CITY MI 48708

Organization’s website WWW.UTERINECANCERAWARENESSNETWORK.ORG
Organization’s email UTERINECANCERAWARENESSNETWORK@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 SHAKEYA ALLEN
Signature Title PRESIDENT
Signature Date 9/18/19

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