FORM 1023-EZ for MY CHRONIC BRAIN INC

Field Data
EIN 87-2542694
Case Number EO-2021253-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY CHRONIC BRAIN INC
Organization’s Mailing Address 4030 WAKE FOREST ROAD STE 349
City RALEIGH
State NC
ZIP 27609-0010
Accounting period End 12
Primary contact name AMANDA INGRASSIA DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA INGRASSIA
DIRECTOR
4030 WAKE FOREST ROAD STE 349
RALEIGH NC 27609-0010

Officer/Director/Trustee Two

GINA INGRASSIA
DIRECTOR
4030 WAKE FOREST ROAD STE 349
RALEIGH NC 27609-0010

Officer/Director/Trustee Three

JENNIFER HEATER
DIRECTOR
4030 WAKE FOREST ROAD STE 349
RALEIGH NC 27609-0010

Organization’s website WWW.MYCHRONICBRAIN.COM
Organization’s email AMANDA@MYCHRONICBRAIN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 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 AMANDA INGRASSIA
Signature Title DIRECTOR
Signature Date 9/8/2021

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