FORM 1023-EZ for CHEMO ANGELS VOLUNTEER GROUP

Field Data
EIN 47-1110275
Case Number EO-2018005-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHEMO ANGELS VOLUNTEER GROUP
Organization’s Mailing Address PO BOX 10129
City EL DORADO
State LA
ZIP 71730
Accounting period End 12
Primary contact name CINDY MITCHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY MITCHAM
ADMINISTRATOR
724 HWY 558
SPEARSVILLE LA 71277

Officer/Director/Trustee Three

LINDA HAYS-HARGETT
CHAIR
249 AUGUSTA
EL DORADO AR 71730

Officer/Director/Trustee Four

SHARON THOMPSON
VICE CHAIR
1108 PINE CIRCLE
SMACKOVER AR 71762

Officer/Director/Trustee Five

BOBBY WILLIAMS
TREASURER
1112 CYPRESS
EL DORADO AR 71730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/17
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CINDY MITCHAM
Signature Title ADMINISTRATOR
Signature Date 1/2/18

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