SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
TEAMCORRIE CANCER FOUNDATION
C/O SANDRA JO GROSS
Employer identification number

47-2866066
Return Reference Explanation
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: BECKY SHIRON. Grantee Relationship: NONE. Date of Gift: 01/30/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: TAMMY HERRIN. Grantee Relationship: NONE. Date of Gift: 02/06/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: MELISSA WILLIAMS. Grantee Relationship: NONE. Date of Gift: 02/17/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: MARYANN MCELROY. Grantee Relationship: NONE. Date of Gift: 03/16/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: MELANIE ATWELL. Grantee Relationship: NONE. Date of Gift: 04/03/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: LEWIS HICKS. Grantee Relationship: NONE. Date of Gift: 04/11/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: LISA NICHOLS. Grantee Relationship: NONE. Date of Gift: 04/18/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: REBECCA MORTON. Grantee Relationship: NONE. Date of Gift: 05/04/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: MARTEA CASHION. Grantee Relationship: NONE. Date of Gift: 06/08/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: TRAVIS JOHNSTON. Grantee Relationship: NONE. Date of Gift: 06/26/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: ALFANZO JAMES. Grantee Relationship: NONE. Date of Gift: 06/30/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: DEBORAH LUM. Grantee Relationship: NONE. Date of Gift: 07/06/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: AMANDA LEE. Grantee Relationship: NONE. Date of Gift: 07/10/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: JULIE GEIST. Grantee Relationship: NONE. Date of Gift: 07/27/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: HILLARY BUTLER. Grantee Relationship: NONE. Date of Gift: 08/04/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: ROLAND WALLER. Grantee Relationship: NONE. Date of Gift: 09/26/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: CASEY DEYAMPERT. Grantee Relationship: NONE. Date of Gift: 10/27/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: JENNY GADBERRY. Grantee Relationship: NONE. Date of Gift: 10/29/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: EDWARD BUGH. Grantee Relationship: NONE. Date of Gift: 11/01/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: WILLIAM HOLMES. Grantee Relationship: NONE. Date of Gift: 11/17/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: NORWOOD SNYDER. Grantee Relationship: NONE. Date of Gift: 11/17/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: ROWLAND WALLER. Grantee Relationship: NONE. Date of Gift: 11/17/23. Amount Given: 2000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: UNINSURED CANCER TREATMENT EXPENSES. Grantee Name: TANYA PENNINGTON. Grantee Relationship: NONE. Date of Gift: 12/21/23. Amount Given: 2000. Total included on Form 990-EZ, line 10: 46000.
Form 990-EZ, Part I, Line 16 - Other Expenses Description: DOMAIN NAME. Amount: 62. Description: PAINT THE TOWN PINK/GOLF SHOOTOUT SUPPLIES. Amount: 7678. Description: NEWPAPER AD. Amount: 230. Description: KIDS WIG EXPENSES AND SHIPPING. Amount: 285. Total to Form 990-EZ, line 16: 8255.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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