FORM 1023-EZ for CORTEX CARES

Field Data
EIN 83-2359932
Case Number EO-2018325-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORTEX CARES
Organization’s Mailing Address 1722 SHELBURNE PL
City JOHNSTOWN
State PA
ZIP 15905
Accounting period End 12
Primary contact name JOHN FARABAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN FARABAUGH
DIRECTOR/PRESIDENT
1722 SHELBURNE PL
JOHNSTOWN PA 15905

Officer/Director/Trustee Two

ANTHONY PENNA JR
DIRECTOR
1722 SHELBURNE PL
JOHNSTOWN PA 15905

Officer/Director/Trustee Three

MARK MOSORJAK
DIRECTOR
1722 SHELBURNE PL
JOHNSTOWN PA 15905

Officer/Director/Trustee Four

JAMIE FARABAUGH
SECRETARY/TREASURER
1722 SHELBURNE PL
JOHNSTOWN PA 15905

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 JOHN FARABAUGH
Signature Title DIRECTOR/PRESIDENT
Signature Date 11/19/18

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