FORM 1023-EZ for BRAINSTORM CANCER INC
| Field | Data |
|---|---|
| EIN | 47-4583679 |
| Case Number | EO-2017060-000340 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BRAINSTORM CANCER INC |
| Organization’s Mailing Address | 5710 CRESCENT PARK E 305 |
| City | PLAYA VISTA |
| State | CA |
| ZIP | 90094 |
| Accounting period End | 12 |
| Primary contact name | TIM MEHL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NATHAN RACHINSKI
CEO
4109 VIA MARINA
MARINA DEL REY CA 90092
Officer/Director/Trustee Two
TIM MEHL
PRESIDENT
5710 CRESCENT PARK E 305
PLAYA VISTA CA 90094
| Organization’s website | WWW.BRAINSTORMCANCER.COM |
|---|---|
| Organization’s email | BRAINSTORMCANCER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/13/2013 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G30 - Cancer |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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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