FORM 1023-EZ for J MICHAEL CARROLL BRAIN CANCER FOUNDATION

Field Data
EIN 84-1804312
Case Number EO-2020057-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name J MICHAEL CARROLL BRAIN CANCER FOUNDATION
Organization’s Mailing Address 5445 LA SIERRA DRIVE SUITE 410
City DALLAS
State TX
ZIP 75231
Accounting period End 12
Primary contact name JEFFREY K BERGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH MICHAEL CARROLL
PRESIDENT/DIRECTOR
5445 LA SIERRA DRIVE SUITE 410
DALLAS TX 75231

Officer/Director/Trustee Two

MATTHEW DICKSON
SECRETARY/DIRECTOR
5445 LA SIERRA DRIVE SUITE 410
DALLAS TX 75231

Officer/Director/Trustee Three

JUSTIN CHRISTOPHER CARROLL
TREASURER/DIRECTOR
5445 LA SIERRA DRIVE SUITE 410
DALLAS TX 75231

Officer/Director/Trustee Four

JOHN BRANDON TAYLOR
DIRECTOR
5445 LA SIERRA DRIVE SUITE 410
DALLAS TX 75231

Officer/Director/Trustee Five

JOHN TAYLOR
DIRECTOR
5445 LA SIERRA DRIVE SUITE 410
DALLAS TX 75231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2019
Organization Incorporation State TX
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 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 JOSEPH MICHAEL CARROLL
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/23/2020

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