FORM 1023-EZ for CRITICAL CARE RESEARCH ASSOCIATIONINC

Field Data
EIN 47-4698605
Case Number EO-2015226-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRITICAL CARE RESEARCH ASSOCIATIONINC
Organization’s Mailing Address 12 NORTH STAR ROAD
City CLOSTER
State NJ
ZIP 07624
Accounting period End 6
Primary contact name CHARLES SPRUNG MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES SPRUNG
DIRECTOR AND PRESIDENT
12 NORTH STAR ROAD
CLOSTER NJ 07624

Officer/Director/Trustee Two

ELLIOT SPRUNG
TREASURER
12 NORTH STAR ROAD
CLOSTER NJ 07624

Officer/Director/Trustee Three

REBECCA SPRUNG
SECRETARY
12 NORTH STAR ROAD
CLOSTER NJ 07624

Officer/Director/Trustee Four

ELLIOT TANNENBAUM
DIRECTOR
50 W 47TH STREET SUITE 2100
NEW YOKR NY 10036

Officer/Director/Trustee Five

JAY POMRENZE
DIRECTOR
155 WEST 66TH STREET
NEW YORK NY 10023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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