FORM 1023-EZ for BREAST CANCER CAN STICK IT

Field Data
EIN 46-2824100
Case Number EO-2018240-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAST CANCER CAN STICK IT
Organization’s Mailing Address 5133 POND VIEW LANE
City FAIRVIEW
State TX
ZIP 75069
Accounting period End 12
Primary contact name JILL HURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL SAMUELS
EXECUTIVE DIRECTOR
5133 POND VIEW LANE
FAIRVIEW TX 75069

Officer/Director/Trustee Two

RON SAMUELS
TREASURER
949 SCENIC RANCH CIRCLE
FAIRVIEW TX 75069

Officer/Director/Trustee Three

JAN SAMUELS
SECRETARY
949 SCENIC RANCH CIRCLE
FAIRVIEW TX 75069

Officer/Director/Trustee Four

MICHELLE GRAVES
DIRECTOR OF SPONSORSHIP
1800 MAIN ST APT 560
DALLAS TX 75201

Officer/Director/Trustee Five

JILL HURT
ACCOUNTANT
2830 DUETZ COURT
ROCKWALL TX 75032

Organization’s website BREASTCANCERCANSTICKIT.ORG
Organization’s email APRIL@BREASTCANCERCANSTICKIT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/16
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JILL HURT
Signature Title ACCOUNTANT
Signature Date 8/24/18

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