FORM 1023-EZ for NEUROCLASTIC INC

Field Data
EIN 84-4557749
Case Number EO-2020184-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEUROCLASTIC INC
Organization’s Mailing Address 1314 CLAY ST
City LYNCHBURG
State VA
ZIP 24504-2647
Accounting period End 7
Primary contact name TERRA VANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRA VANCE
CEO
1314 CLAY ST
LYNCHBURG VA 24504-2647

Officer/Director/Trustee Two

ALISAR COHEN
CHIEF FINANCIAL OFFICER
65 WELLS RD
LINCOLN MA 01773-3703

Officer/Director/Trustee Three

ANNA KRAEMER
BOARD CHAIRPERSON
7603 MANDAN ROAD APT 203
GREENBELT MD 20770-2131

Officer/Director/Trustee Four

MARCIA ECKERD
BOARD MEMBER
340 OLD BATTERY ROAD
BRIDGEPORT CT 06605-3619

Officer/Director/Trustee Five

STACIA LANGLEY
BOARD MEMBER
1608 CYPRESS LANE
DAVIS CA 95616-1319

Organization’s website NEUROCLASTIC.COM
Organization’s email NEUROCLASTICINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRA VANCE
Signature Title CEO
Signature Date 6/30/2020

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