FORM 1023-EZ for CRANIOCERVICAL FOUNDATION INC

Field Data
EIN 82-2215814
Case Number EO-2017212-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRANIOCERVICAL FOUNDATION INC
Organization’s Mailing Address 875 GREENLAND ROAD UNIT B12
City PORTSMOUTH
State NH
ZIP 03801-4162
Accounting period End 12
Primary contact name MYCHAL BEEBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYLER EVANS
PRESIDENT
127A LONGMARSH ROAD
DURHAM NH 03824-4212

Officer/Director/Trustee Two

MYCHAL BEEBE
DIRECTOR, SECRETARY AND TREASURER
127A LONGMARSH ROAD
DURHAM NH 03824-4212

Officer/Director/Trustee Three

RYAN POPE
DIRECTOR
323 LILAC LANE
DOVER NH 03820-5470

Officer/Director/Trustee Four

ALEC LIEBERMAN
DIRECTOR
27 PEABODY ROW
LONDONDERRY NH 03053-3387

Officer/Director/Trustee Five

JAVI KALBACH
DIRECTOR
74 PORTLAND AVENUE
DOVER NH 03820-3540

Organization’s website CRANIOCERVICALFOUNDATION.ORG
Organization’s email INFO.CRANIOCERVICALFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2017
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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
Signature Title
Signature Date

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