FORM 1023-EZ for ATAXIA RESEARCH FUND

Field Data
EIN 83-3319530
Case Number EO-2019059-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATAXIA RESEARCH FUND
Organization’s Mailing Address 10174 RIDGEGATE CIRCLE
City LONETREE
State CO
ZIP 80124-5538
Accounting period End 12
Primary contact name TAMARA BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL SMITH
EXECUTIVE DIRECTOR
10174 RIDGEGATE CIRCLE
LONETREE CO 80124-5538

Officer/Director/Trustee Two

TAMARA BISHOP
CHIEF FINANCIAL OFFICER
1600 GLENARM PLACE APT 1703
DENVER CO 80202-4326

Officer/Director/Trustee Three

MARIO NICOLAIS
GENERAL COUNSEL
7830 W ALAMEDA AVE 103-301
LAKEWOOD CO 80226-3093

Organization’s website ATAXIARESEARCH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G50 - Nerve, Muscle and Bone Diseases
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 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 TAMARA BISHOP
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 2/26/19

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