FORM 1023-EZ for CENTER FOR ADAPTIVE STRESS

Field Data
EIN 86-3438585
Case Number EO-2021141-000666
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR ADAPTIVE STRESS
Organization’s Mailing Address 3522 PEMBROKE AVE
City CINCINNATI
State OH
ZIP 45208
Accounting period End 12
Primary contact name LORI HOGENKAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI HOGENKAMP
DIRECTOR
3522 PEMBROKE AVE
CINCINNATI OH 45208

Officer/Director/Trustee Two

DENNIS SMITH
DIRECTOR
8175 MUCHMORE POINT LANE
CINCINNATI OH 45243

Officer/Director/Trustee Three

MELISSA WINK
DIRECTOR
8175 MUCHMORE POINT LANE
45243 OH 45243

Organization’s website WWW.NDCENTERFORSTRESS.ORG
Organization’s email LORI.HOGENKAMP@NDCENTERFORSTRESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
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 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 LORI HOGENKAMP
Signature Title DIRECTOR
Signature Date 5/19/2021

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