FORM 1023-EZ for NOR-CAL HEALTHY SPINES INITIATIVE

Field Data
EIN 83-0527155
Case Number EO-2018309-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOR-CAL HEALTHY SPINES INITIATIVE
Organization’s Mailing Address 3742 SUNLIGHT COURT
City REDDING
State CA
ZIP 96001
Accounting period End 12
Primary contact name BRADLEY PIKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY PIKE
PRESIDENT/DIRECTOR
3742 SUNLIGHT COURT
REDDING CA 96001

Officer/Director/Trustee Two

BROOKE WALLACE
TREASURER/DIRECTOR
3742 SUNLIGHT COURT
REDDING CA 96001

Officer/Director/Trustee Three

SARAH HILLSTROM
SECRETARY/DIRECTOR
3742 SUNLIGHT COURT
REDDING CA 96001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G50 - Nerve, Muscle and Bone Diseases
Organization’s purpose Charitable: Yes
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 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 BRADLEY PIKE
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/2/18

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