FORM 1023-EZ for CTAP-FOUNDATION FOR CONSERVATIVE TREATMENT OF ADULT PELVIC FLOOR DISOR
| Field | Data |
|---|---|
| EIN | 81-4853260 |
| Case Number | EO-2017025-000046 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CTAP-FOUNDATION FOR CONSERVATIVE TREATMENT OF ADULT PELVIC FLOOR DISOR |
| Organization’s Mailing Address | 13460 N 94TH DRIVE SUITE M-2 |
| City | PEORIA |
| State | AZ |
| ZIP | 85381 |
| Accounting period End | 12 |
| Primary contact name | JOEL ROSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOEL ROSEN
BOD
13460 N 94TH DRIVE
PEORIA AZ 85381
Officer/Director/Trustee Two
JEAN COOPER
BOD
7509 N 12TH STREET
PHOENIX AZ 85020
Officer/Director/Trustee Three
HOWIE FELIXBROD
BOD
327 FRANKLIN AVE
WYCKOFF NJ 07481
Officer/Director/Trustee Four
RONALD LAVITA
BOD
194 MAIN STREET
EAST SATUKET NY 11733
Officer/Director/Trustee Five
KATHLEEN ROSEN
BOD
PO BOX 54459
PHOENIX AZ 85078
| Organization’s website | HTTP://CCA-CENTER.COM/CTAP.HTML |
|---|---|
| Organization’s email | CONTACTCTAP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/9/2016 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H90 - Medical Specialty Research |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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