FORM 1023-EZ for INTERNATIONAL AGENCY FOR CHIROPRACTIC EVALUATION

Field Data
EIN 46-3624264
Case Number EO-2015021-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL AGENCY FOR CHIROPRACTIC EVALUATION
Organization’s Mailing Address 1835 EBENEZER ROAD
City ROCK HILL
State SC
ZIP 29732
Accounting period End 12
Primary contact name MYRON BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MYRON BROWN
EXECUTIVE DIRECTOR
1835 EBENEZER ROAD
ROCK HILL SC 29732

Officer/Director/Trustee Two

CARL GILLMAN
CHAIR
120 EAST THIRD STREET
WEST LIBERTY IA 52776

Officer/Director/Trustee Three

ROBERT BERKOWITZ
SECRETARY/TREASURER
34 WOODBRIDGE AVENUE
HIGHLAND PARK NJ 08904

Officer/Director/Trustee Four

IRENE GOLD
DIRECTOR
191 PRESIDENTIAL BOULEVARD
BALA CYNWYD PA 19004

Officer/Director/Trustee Five

JOSEPH STRAUSS
DIRECTOR
1405 FROSTY HOLLOW ROAD
LEVITTOWN PA 19056

Organization’s website WWW.INTERNATIONALCHIROPRACTIC.ORG
Organization’s email DRBROWN@YOUNEEDCHIRO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2001
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 No
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 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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