FORM 1023-EZ for MISSION BRAIN FOUNDATION
| Field | Data |
|---|---|
| EIN | 46-3396886 |
| Case Number | EO-2014245-000490 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSION BRAIN FOUNDATION |
| Organization’s Mailing Address | 3001 BRIDGEWAY BLVD SUITE K-161 |
| City | SAUSALITO |
| State | CA |
| ZIP | 94965 |
| Accounting period End | 12 |
| Primary contact name | WILL AARSHEIM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
APRIL SABANGAN
CHAIR
131 MOULTRIE
SAN FRANCISCO CA 94110
Officer/Director/Trustee Two
ALFREDO QUINONES-HINOJOSA
PRESIDENT
301 MASON LORD DRIVE SUITE 2100
BALTIMORE MD 21224
Officer/Director/Trustee Three
MICHAEL LAWTON
VICE PRESIDENT
35 MEADOW RIDGE DRIVE
CORTE MADERA CA 94925
Officer/Director/Trustee Four
ELIZABETH HANNEGAN
SECRETARY
11 PEACOCK DRIVE
SAN RAFAEL CA 94901
Officer/Director/Trustee Five
WILL AARSHEIM
TREASURER
88 DIANE LANE
LARKSPUR CA 94939
| Organization’s website | WWW.MISSIONBRAIN.ORG |
|---|---|
| Organization’s email | INFO@MISSIONBRAIN.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/17/2013 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G48 - Brain Disorders |
| 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 | No |
| 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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