FORM 1023-EZ for THE BRAIN RECOVERY CREW

Field Data
EIN 46-1700493
Case Number EO-2016029-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BRAIN RECOVERY CREW
Organization’s Mailing Address PO BOX 13320
City PITTSBURGH
State PA
ZIP 15243
Accounting period End 12
Primary contact name NICOLE GLASS EXECUTIVE DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE GLASS
PRESIDENT, SECRETARY
PO BOX 13320
PITTSBURGH PA 15243

Officer/Director/Trustee Two

MARK NAYLOR
VICE-PRESIDENT, TREASURER
PO BOX 13320
PITTSBURGH PA 15243

Officer/Director/Trustee Three

BILL CONNORS
DIRECTOR
PO BOX 13320
PITTSBURGH PA 15243

Officer/Director/Trustee Four

MARY SULLIVAN
DIRECTOR
PO BOX 13320
PITTSBURGH PA 15243

Organization’s website WWW.BRAINRECOVERYCREW.ORG
Organization’s email TBRC@BRAINRECOVERYCREW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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