FORM 1023-EZ for SCIENTIFIC NETWORK ON FEMALE SEXUALHEALTH AND CANCER INCORPORATED

Field Data
EIN 47-3945687
Case Number EO-2015251-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCIENTIFIC NETWORK ON FEMALE SEXUALHEALTH AND CANCER INCORPORATED
Organization’s Mailing Address 600 HIGHLAND AVE H4/654 UW HOSPITAL
City MADISON
State WI
ZIP 53792
Accounting period End 12
Primary contact name AIMEE TOBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID KUSHNER
CHAIR DIRECTOR
600 HIGHLAND AVE H4/654 UW HOSPITAL
MADISON WI 53792

Officer/Director/Trustee Two

JEANNE CARTER
CO-VICE CHAIR DIRECTOR
1275 YORK AVE SLOAN-KETTERING CENTE
NEW YORK NY 10065

Officer/Director/Trustee Three

SHARI GOLDFARB
CO-VICE CHAIR DIRECTOR
1275 YORK AVE SLOAN-KETTERING CENTE
NEW YORK NY 10065

Officer/Director/Trustee Four

STACY LINDAU
PAST CHAIR DIRECTOR
5841 S MARYLAND AVE MC 2050 RM R311
CHICAGO IL 60637

Organization’s website WWW.CANCERSEXNETWORK.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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
Signature Title
Signature Date

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