FORM 1023-EZ for BRAIN FITNESS FOUNDATION

Field Data
EIN 87-2557115
Case Number EO-2021260-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRAIN FITNESS FOUNDATION
Organization’s Mailing Address 263 WEST END AVENUE SUITE 1D
City NEW YORK
State NY
ZIP 10023-2612
Accounting period End 12
Primary contact name KAMRAN FALLAHPOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAMRAN FALLAHPOUR
DR
263 WEST END AVENUE SUITE 1D
NEW YORK NY 10023-2612

Officer/Director/Trustee Two

SUZANNE FALLA
DR
263 WEST END AVENUE SUITE 1D
NEW YORK NY 10023-2612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAMRAN FALLAHPOUR
Signature Title DR
Signature Date 9/15/2021

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