FORM 1023-EZ for INSTITUTE FOR THE MANAGEMENT OF PAIN AND ANXIETY
| Field | Data |
|---|---|
| EIN | 82-3744276 |
| Case Number | EO-2020225-000110 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INSTITUTE FOR THE MANAGEMENT OF PAIN AND ANXIETY |
| Organization’s Mailing Address | PO BOX 522354 |
| City | SALT LAKE CITY |
| State | UT |
| ZIP | 84152 |
| Accounting period End | 12 |
| Primary contact name | KEVIN CROFT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEVIN CROFT
DIRECTOR
PO BOX 522354
SALT LAKE CITY UT 84152
Officer/Director/Trustee Two
CYNTHIA FUKAMI
BOARD OF DIRECTORS
PO BOX 522354
SALT LAKE CITY UT 84152
Officer/Director/Trustee Three
ZAKARIA MESSIEHA
BOARD OF DIRECTORS
PO BOX 522354
SALT LAKE CITY UT 84152
Officer/Director/Trustee Four
JOSHUA JACKSTEIN
BOARD OF DIRECTORS
PO BOX 522354
SALT LAKE CITY UT 84152
Officer/Director/Trustee Five
JAMES TOM
BOARD OF DIRECTORS
PO BOX 522354
SALT LAKE CITY UT 84152
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/2017 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B40 - Higher Education Institutions |
| Organization’s purpose | Charitable: No 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 | Yes |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KEVIN CROFT |
| Signature Title | DIRECTOR |
| Signature Date | 8/9/2020 |
| EIN | 82-3744276 |
| Case Number | EO-2017355-000344 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | INSTITUTE FOR THE MANAGEMENT OF PAIN AND ANXIETY |
| Organization’s Mailing Address | 4411 BEE RIDGE RD 172 |
| City | SARASOTA |
| State | FL |
| ZIP | 34233 |
| Accounting period End | 12 |
| Primary contact name | AMY SARNO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES TOM
BOARD MEMBER
4411 BEE RIDGE RD 172
SARASOTA FL 34233
Officer/Director/Trustee Two
JOSHUA JACKSTIEN
BOARD MEMBER
4411 BEE RIDGE RD 172
SARASOTA FL 34233
Officer/Director/Trustee Three
AMY SARNO
BOARD MEMBER
4411 BEE RIDGE RD 172
SARASOTA FL 34233
Officer/Director/Trustee Four
KEVIN CROFT
DIRECTOR
4411 BEE RIDGE RD 172
SARASOTA FL 34233
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/17 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B40 - Higher Education Institutions |
| Organization’s purpose | Charitable: No 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 | Yes |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KEVIN CROFT |
| Signature Title | DIRECTOR |
| Signature Date | 12/19/17 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
