FORM 1023-EZ for MOMMY HAS BREAST CANCER

Field Data
EIN 45-4018762
Case Number EO-2014295-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMMY HAS BREAST CANCER
Organization’s Mailing Address 787 CEDARHILL DR
City CINCINNATI
State OH
ZIP 45240-1331
Accounting period End 12
Primary contact name JOCELYN BANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOCELYN BANKS
EXECUTIVE DIRECTOR
787 CEDARHILL DR
CINCINNATI OH 45240-1331

Officer/Director/Trustee Two

SHARAHN MONK
PRESIDENT
2626 JACKSON RUE
UNION KY 41091

Officer/Director/Trustee Three

HEATHER LUKER
VICE PRESIDENT
1349 AZEL AVE
HAMILTON OH 45013

Officer/Director/Trustee Four

SHIRELYN IYOHA
SECRETARY
6388 SANTA ANITA CT
WEST CHESTER OH 45069

Officer/Director/Trustee Five

AMBER WHITFIELD
ASSISTANT TREASURER
3749 MACK RD
FAIRFIELD OH 45014

Organization’s website WWW.MOMMYHASBREASTCANCER.ORG
Organization’s email HELP@MOMMYHASBREASTCANCER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2011
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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