FORM 1023-EZ for PURE CARE CLINIC INC

Field Data
EIN 83-1193181
Case Number EO-2018218-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURE CARE CLINIC INC
Organization’s Mailing Address 1553 W TODD DRIVE SUITE 106
City TEMPE
State AZ
ZIP 85283
Accounting period End 12
Primary contact name SCOTT MAYMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MAYMON
DIRECTOR AND PRESIDENT
1219 W MONTE AVE
MESA AZ 85202

Officer/Director/Trustee Two

SARAH STONE
TREASURER AND SECRETARY
1219 W MONTE AVE
MESA AZ 85202

Officer/Director/Trustee Three

MICHAELA FALKNER
DIRECTOR
28 RIVAS AVE
SAN FRANCISCO CA 94132

Officer/Director/Trustee Four

HILLARY LIM
DIRECTOR
3440 E MORROW DR
PHOENIX AZ 85050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 Yes
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 SCOTT MAYMON
Signature Title DIRECTOR AND PRESIDENT
Signature Date 8/1/18

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