FORM 1023-EZ for NEUROGENIC BLADDER RESEARCH GROUP CORPORATION
| Field | Data |
|---|---|
| EIN | 81-1173687 |
| Case Number | EO-2016067-000360 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NEUROGENIC BLADDER RESEARCH GROUP CORPORATION |
| Organization’s Mailing Address | 30 N 1900 E SOM RM 3B427 |
| City | SALT LAKE CITY |
| State | UT |
| ZIP | 84132-0100 |
| Accounting period End | 12 |
| Primary contact name | LEAH JENSEN BENNION |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JEREMY MYERS
PRESIDENT, DIRECTOR
30 N 1900 E SOM RM 3B427
SALT LAKE CITY UT 84132-0100
Officer/Director/Trustee Two
SARA LENHERR
TREASURER, DIRECTOR
30 N 1900 E ROM RM 3B427
SALT LAKE CITY UT 84132-0100
Officer/Director/Trustee Three
BLAYNE WELK
VP, DIRECTOR
30 N 1900 E ROM RM 3B427
SALT LAKE CITY UT 84132-0100
Officer/Director/Trustee Four
JOHN STOFFEL
VP, DIRECTOR
A ALFRED TAUBMAN HEALTH CTR RM 3875
ANN ARBOR MI 48109-5330
Officer/Director/Trustee Five
SEAN ELLIOTT
VP, DIRECTOR
420 DELAWARE ST SE MMC 394 ST B435
MINNEAPOLIS MN 55455-0341
| Organization’s website | NBRG.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/13/2016 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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