| Field | Data |
|---|---|
| EIN | 90-0997120 |
| Case Number | EO-2016305-000227 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | INTERNATIONAL SOCIETY OF REHABILIT CLINICAL |
| Organization’s Mailing Address | 76 GREENFIELD AVE |
| City | BALLSTON SPA |
| State | NY |
| ZIP | 12020-2423 |
| Accounting period End | 12 |
| Primary contact name | MARYANNE HARRINGTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MARYANNE HARRINGTON
SECRETARY
1525 MESA VERDE DR E STE 113
COSTA MESA CA 92626
JUSTIN DEAN
PRESIDENT
3942 SE HAWTHORNE BLVD
PORTLAND OR 97214
ROB BLOCK
TREASURER
76 GREENFIELD AVE
BALLSTON SPA NY 12020
JOSH WIDEMAN
TREASURER
10474 SANTA MONICA BLVD
LOS ANGELES CA 90025
| Organization’s website | REHAB2PERFORMANCE.COM |
|---|---|
| Organization’s email | SECRETARY@REHAB2PERFORMANCE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/27/2010 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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