FORM 1023-EZ for CANCER FIGHTERS OF NORTHEAST MISSOURI

Field Data
EIN 47-1754067
Case Number EO-2015042-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCER FIGHTERS OF NORTHEAST MISSOURI
Organization’s Mailing Address 3310 ARAPAHO
City HANNIBAL
State MO
ZIP 63401
Accounting period End 5
Primary contact name JOHN S HARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN HARK
OFFICER
3310 ARAPAHO
HANNIBAL MO 63401

Officer/Director/Trustee Two

CAROL HARK
OFFICER
3310 ARAPAHO
HANNIBAL MO 63401

Officer/Director/Trustee Three

ELLEN GOODWIN
OFFICER
421 W WATER
PALMYRA MO 63461

Officer/Director/Trustee Four

FRANNIE ALTHEIDE
OFFICER
2603 WINDMERE RD
HANNIBAL MO 63401

Organization’s website
Organization’s email JSHARK203@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2012
Organization Incorporation State MO
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 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 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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