FORM 1023-EZ for RYAN SMITH CRUSH IT FORE CANCER FOUNDATION INC

Field Data
EIN 82-2433650
Case Number EO-2018107-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RYAN SMITH CRUSH IT FORE CANCER FOUNDATION INC
Organization’s Mailing Address 6711 PINEWOOD PL
City DAYTON
State OH
ZIP 45459
Accounting period End 12
Primary contact name ROGER SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER SMITH
DIRECTOR
6711 PINEWOOD PL
DAYTON OH 45459

Officer/Director/Trustee Two

DIANA SMITH
OFFICER
6711 PINEWOOD PL
DAYTON OH 45459

Officer/Director/Trustee Three

CHRISTI BARRY-HENSLEY
OFFICER
16 FAIRWOOD DR
MIAMISBURG OH 45342

Officer/Director/Trustee Four

NICOLE SHADE
OFFICER
2235 LIMESTONE WAY
MIAMISBURG OH 45342

Officer/Director/Trustee Five

CANDICE SMITH
OFFICER
6172 CARNATION RD
WEST CARROLLTON OH 45449

Organization’s website HTTP://CRUSHITFORECANCER.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROGER SMITH
Signature Title DIRECTOR
Signature Date 3/23/18

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