FORM 1023-EZ for YOUR CANCER IS MY CANCER INC

Field Data
EIN 47-2139792
Case Number EO-2015050-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUR CANCER IS MY CANCER INC
Organization’s Mailing Address 3172 SW 120 TERRACE BLDG 6
City MIRAMAR
State FL
ZIP 33025
Accounting period End 12
Primary contact name WANDA HAZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WANDA HAZEL
PRESIDENT
3172 SW 120 TERRACE BLDG 6
MIRAMAR FL 33025

Officer/Director/Trustee Two

SHAREE LASTER
VICE PRESIDENT
3585 NORTH RIVER ROAD
FORT GRATIOT MI 48059

Officer/Director/Trustee Three

SHIRLEY BRINSON
SECRETARY
16210 NW 28TH PLACE
MIAMI GARDENS FL 33054

Organization’s website
Organization’s email YOURCANCERISMYCANCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 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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