FORM 1023-EZ for ALTERNATIVE NEUROLOGICAL SOLUTIONSINC

Field Data
EIN 47-3622812
Case Number EO-2016042-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALTERNATIVE NEUROLOGICAL SOLUTIONSINC
Organization’s Mailing Address 2441 PROFESSIONAL PKWY
City SANTA MARIA
State CA
ZIP 93455
Accounting period End 12
Primary contact name WAYNE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYNE MILLER
PRESIDENT
2441 PROFESSIONAL PKWY
SANTA MARIA CA 93455

Officer/Director/Trustee Two

KAREN CONDON
SECRETARY
2441 PROFESSIONAL PKWY
SANTA MARIA CA 93455

Officer/Director/Trustee Three

BOBBY DIAMOND
TREASURER
2441 PROFESSIONAL PKWY
SANTA MARIA CA 93455

Officer/Director/Trustee Four

TIMOTHY STAFFEL
DIRECTOR
2441 PROFESSIONAL PKWY
SANTA MARIA CA 93455

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
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 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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