FORM 1023-EZ for BRAIN-MIND INSTITUTE

Field Data
EIN 45-4959719
Case Number EO-2015233-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAIN-MIND INSTITUTE
Organization’s Mailing Address 4460 ALDERWOOD DRIVE
City OKEMOS
State MI
ZIP 48864-0303
Accounting period End 12
Primary contact name JUYANG WENG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUYANG WENG
PRESIDENT
MICHIGAN STATE UNIVERSITY
EAST LANSING MI 48824-1226

Officer/Director/Trustee Two

JAY MCCLELLAND
CHAIRMAN OF BOARD OF DIRECTORS
STANFORD UNIVERSITY
STANFORD CA 94305

Officer/Director/Trustee Three

LINDA SMITH
DIRECTOR
INDIANA UNIVERSITY
BLOOMINGTON IN 47405

Officer/Director/Trustee Four

ASIM ROY
DIRECTOR
ARIZONA STATE UNIVERSITY
TEMPE AZ 85287

Officer/Director/Trustee Five

STEPHEN GROSSBERG
DIRECTOR
BOSTON UNIVERSITY
BOSTON MA 02215

Organization’s website HTTP://WWW.BRAIN-MIND-INSTITUTE.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2011
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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