FORM 1023-EZ for BRAIN MED INC

Field Data
EIN 66-0865229
Case Number EO-2018253-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRAIN MED INC
Organization’s Mailing Address 100 LUIS MUNOZ MARIN AVE
City CAGUAS
State PR
ZIP 725-2658
Accounting period End 12
Primary contact name LUCY BERLINGERI-RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMEN L MORALES-COLON
PRESIDENT
PO BOX 4980
CAGUAS PR 726-4980

Officer/Director/Trustee Two

MARIOLA C CIRINO MARCANO
UNKNOWN
PO BOX 4980
CAGUAS PR 726-4980

Officer/Director/Trustee Three

IVAN E DEL TORO
SECRETARY
PO BOX 4980
CAGUAS PR 726-4980

Organization’s website
Organization’s email CMORALES@HIMAPR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/16
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
Organization’s purpose Charitable: Yes
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 CARMEN L MORALES-COLON
Signature Title PRESIDENT
Signature Date 9/6/18

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