FORM 1023-EZ for COURAGE UNDER CANCER FOUNDATION

Field Data
EIN 83-4595808
Case Number EO-2019122-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COURAGE UNDER CANCER FOUNDATION
Organization’s Mailing Address PO BOX 3354
City APACHE JUNCTION
State AZ
ZIP 85117
Accounting period End 12
Primary contact name DEE BAGINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WISEMAN
DIRECTOR
1858 E GARY STREET
MESA AZ 85208

Officer/Director/Trustee Two

DELIA VAN HOUTEN
DIRECTOR
18154 E VIA MARGARITA
GOLD CANYON AZ 85118

Officer/Director/Trustee Three

WALTER CLARK
DIRECTOR
PO BOX 69
APACHE JUNCTION AZ 85117

Officer/Director/Trustee Four

MIKE BECKER
DIRECTOR
607 S HASTINGS
MESA AZ 85208

Officer/Director/Trustee Five

JERRY BAGINSKI
OFFICER
2325 W VIRGINIA STREET
APACHE JUNCTION AZ 85120

Organization’s website
Organization’s email CUCFNONPROFIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - 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 Yes
Donation of funds Yes
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 JERRY BAGINSKI
Signature Title OFFICER
Signature Date 4/30/19

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