FORM 1023-EZ for BRAIN INJURY RESOURCE GROUP INC

Field Data
EIN 81-3848896
Case Number EO-2017107-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAIN INJURY RESOURCE GROUP INC
Organization’s Mailing Address 3800 AMERICAN BLVD WEST SUITE 1500
City EDINA
State MN
ZIP 55431
Accounting period End 12
Primary contact name JESSICA BIRKEN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES BONO
PRESIDENT
3800 AMERICAN BLVD WEST SUITE 1500
EDINA MN 55431

Officer/Director/Trustee Two

DAN SCHNEIDER
TREASURER
3800 AMERICAN BLVD WEST SUITE 1500
EDINA MN 55431

Officer/Director/Trustee Three

SUE ELKINS
VICE PRESIDENT
3800 AMERICAN BLVD WEST SUITE 1500
EDINA MN 55431

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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