FORM 1023-EZ for DR ADAM APFELBLAT FOUNDATION FOR CHIROPRACTIC ADVANCEMENT

Field Data
EIN 84-3547022
Case Number EO-2019333-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR ADAM APFELBLAT FOUNDATION FOR CHIROPRACTIC ADVANCEMENT
Organization’s Mailing Address 5656 PEMBROOKE XING
City WEST BLOOMFIELD
State MI
ZIP 48322
Accounting period End 12
Primary contact name JEFFREY MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA APFELBLAT
PRESIDENT
5656 PEMBROOKE XING
WEST BLOOMFIELD MI 48322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA APFELBLAT
Signature Title PRESIDENT
Signature Date 11/26/19

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