FORM 1023-EZ for NATIONAL CENTER FOR ACUPUNCTURE SAFETY AND INTEGRITY

Field Data
EIN 47-5350685
Case Number EO-2016078-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL CENTER FOR ACUPUNCTURE SAFETY AND INTEGRITY
Organization’s Mailing Address 1615 GOETHALS DRIVE
City RICHLAND
State WA
ZIP 99354
Accounting period End 12
Primary contact name JOHN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN MOORE
DIRECTOR/TREASURER
1615 GOETHALS DRIVE
RICHLAND WA 99354

Officer/Director/Trustee Two

AL THIEME
BOARD MEMBER
1417 SE 34TH AVE
PORTLAND OR 97214

Officer/Director/Trustee Three

RAMSEY HIGGINS
SECRETARY
838 STATE FARM RD
BOONE NC 28607

Organization’s website ACUPUNCTURESAFETY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
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 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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