FORM 1023-EZ for PEAK NEURO INTEGRATIVE CARE CENTERINC

Field Data
EIN 85-3745048
Case Number EO-2020315-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEAK NEURO INTEGRATIVE CARE CENTERINC
Organization’s Mailing Address 5511 W 56TH AVE STE 200
City ARVADA
State CO
ZIP 80002
Accounting period End 12
Primary contact name FARA MURATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FARA MURATA
PRES SEC TREAS
5511 W 56TH AVE
ARVADA CO 80002

Officer/Director/Trustee Two

CARRIE VACCARELLA
DIRECTOR
363 S HARLAN ST STE 205
LAKEWOOD CO 80226

Organization’s website
Organization’s email FARA@PEAKNEUROCARE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 FARA MURATA
Signature Title PRES SEC TREAS
Signature Date 11/8/2020

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