FORM 1023-EZ for GEORGETOWN NEUROSCIENCES FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-2454878 |
| Case Number | EO-2021123-000591 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GEORGETOWN NEUROSCIENCES FOUNDATION |
| Organization’s Mailing Address | 200 RIDGE RUN COURT |
| City | GEORGETOWN |
| State | TX |
| ZIP | 78628 |
| Accounting period End | 8 |
| Primary contact name | LISA A MATTHEWS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL DOUGLAS
PRESIDENT
200 RIDGE RUN COURT
GEORGETOWN TX 78626
Officer/Director/Trustee Two
JOSH SCHROEDER JD
TRUSTEE
108 EAST EIGHT STREET
GEORGETOWN TX 78626
Officer/Director/Trustee Three
STEPHEN BENOLD MD
TRUSTEE
105 TANKSLEY
GEORGETOWN TX 78626
Officer/Director/Trustee Four
BARBARA BALDWIN PEARCE RN
TRUSTEE
612 SAN GABRIEL OVERLOOK
GEORGETOWN TX 78628
Officer/Director/Trustee Five
TOM FORBES
TRUSTEE
1400 LAVACA SUITE 1000
AUSTIN TX 78701
| Organization’s website | GEORGETOWNNEUROSCIENCEFOUNDTION.ORG |
|---|---|
| Organization’s email | INFO@GEORGETOWNNEUROSCIENCEFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/14/2020 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H48 - Brain Disorders Research |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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 | MICHAEL DOUGLAS |
| Signature Title | PRESIDENT |
| Signature Date | 5/1/2021 |
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