﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2024v5.2" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-09-30T17:06:13-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>922176320</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>EASTER ISLAND BUSINESS SERVICES</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 253</AddressLine1Txt>
        <CityNm>SAN CLEMENTE</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>926740253</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>853118651</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HOPE IN PAIN INC</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% Susannah Lipson-de Marigny</InCareOfNm>
      <BusinessNameControlTxt>HOPE</BusinessNameControlTxt>
      <PhoneNum>9493752446</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2618 SAN MIGUEL DRIVE STE 272</AddressLine1Txt>
        <CityNm>Newport Beach</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>92660</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>SUSANNAH LIPSON-DE MARIGNY</PersonNm>
      <PersonTitleTxt>President</PersonTitleTxt>
      <PhoneNum>9493752446</PhoneNum>
      <SignatureDt>2025-09-30</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MAUREEN HENRY EA</PreparerPersonNm>
      <PTIN>P02386329</PTIN>
      <PhoneNum>9496060949</PhoneNum>
      <PreparationDt>2025-09-30</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990EZ documentId="IRS990EZ-118-Copy1" referenceDocumentId="IRS990ScheduleO-196-Copy1">
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <WebsiteAddressTxt>https://www.hopeinpain.org/</WebsiteAddressTxt>
      <Organization501c3Ind referenceDocumentId="IRS990ScheduleA-164-Copy1">X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <GrossReceiptsAmt>85741</GrossReceiptsAmt>
      <ContributionsGiftsGrantsEtcAmt>4568</ContributionsGiftsGrantsEtcAmt>
      <ProgramServiceRevenueAmt>81173</ProgramServiceRevenueAmt>
      <TotalRevenueAmt>85741</TotalRevenueAmt>
      <SalariesOtherCompEmplBnftAmt>47700</SalariesOtherCompEmplBnftAmt>
      <FeesAndOtherPymtToIndCntrctAmt>55530</FeesAndOtherPymtToIndCntrctAmt>
      <PrintingPublicationsPostageAmt>421</PrintingPublicationsPostageAmt>
      <OtherExpensesTotalAmt>36050</OtherExpensesTotalAmt>
      <TotalExpensesAmt>139701</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>-53960</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>163396</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>109436</NetAssetsOrFundBalancesEOYAmt>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>165056</BOYAmt>
        <EOYAmt>110868</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <LandAndBuildingsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandAndBuildingsGrp>
      <OtherAssetsTotalDetail>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalDetail>
      <Form990TotalAssetsGrp>
        <BOYAmt>165056</BOYAmt>
        <EOYAmt>110868</EOYAmt>
      </Form990TotalAssetsGrp>
      <SumOfTotalLiabilitiesGrp>
        <BOYAmt>1660</BOYAmt>
        <EOYAmt>1431</EOYAmt>
      </SumOfTotalLiabilitiesGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>163396</BOYAmt>
        <EOYAmt>109437</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <PrimaryExemptPurposeTxt>SUPPORT, EDUCATE &amp; ADVOCATE FOR PERSONS W/ MIGRAINE DIS</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>EMPOWERING PATIENT VOICES Develop surveys for dissemination to patient re: access to care issues &amp; utilization mgmt. Results to be turned into reports and webinars.</DescriptionProgramSrvcAccomTxt>
        <ProgramServiceExpensesAmt>67778</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>CHRONIFICATION PROJECT Create &amp; disseminate a Migraine Treatment Optimization Questionnaire (MTOQ) as a patient-provider communication tool to proactively address migraine progression &amp; treatment.</DescriptionProgramSrvcAccomTxt>
        <ProgramServiceExpensesAmt>7487</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>75265</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentId="CompensationExp-385-1548-Copy1">SUSANNAH LIPSON-DE MARIGNY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>10.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>14700</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentId="CompensationExp-385-1548-Copy2">PETER J DE MARIGNY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>12.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>32000</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentId="CompensationExp-385-1548-Copy3">RALPH CARMICHAEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>500</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentId="CompensationExp-385-1548-Copy4">LARRY JOST</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>500</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <Form1120PolFiledInd>false</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <BooksInCareOfDetail>
        <PersonNm>SUSANNAH LIPSON-DE MARIGNY</PersonNm>
        <USAddress>
          <AddressLine1Txt>2618 SAN MIGUEL DRIVE</AddressLine1Txt>
          <CityNm>NEWPORT BEACH</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92660</ZIPCd>
        </USAddress>
        <PhoneNum>9493752446</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>true</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="IRS990ScheduleA-164-Copy1">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>26000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>155000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>103645</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4568</CurrentTaxYearAmt>
        <TotalAmt>289213</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus3YearsAmt>18034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28747</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>71787</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>118568</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus3YearsAmt>44034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>183747</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>175432</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4568</CurrentTaxYearAmt>
        <TotalAmt>407781</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>407781</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>44034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>183747</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>175432</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4568</CurrentTaxYearAmt>
        <TotalAmt>407781</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide patient &amp; caregiver advocacy, support and education services focusing on chronic pain, migraine disease, and other headache disorders.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-175-Copy1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleO documentId="IRS990ScheduleO-197-Copy1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Advertising and promotion $8930.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Other office expenses $17279.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Travel $7541.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Conferences, conventions, and meetings $889.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEER GIFTS YEAR END $1047.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEVOLENCE $364.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Blog &amp; Newsletter Writing $2756.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Graphic Design $5959.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Marketing $2980.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Social Media $15287.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Video Editing $7815.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts payable and accrued expenses. Beginning:$1660.00 Ending: $1431.00</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <CompensationExplanation documentId="CompensationExp-385-1548-Copy1">
      <CompensationExplanationGrp>
        <PersonNm>SUSANNAH LIPSON-DE MARIGNY</PersonNm>
        <ShortExplanationTxt>Advocacy Consulting, Blog &amp; Newsletter Writing, Project Mgmt</ShortExplanationTxt>
      </CompensationExplanationGrp>
    </CompensationExplanation>
    <CompensationExplanation documentId="CompensationExp-385-1548-Copy2">
      <CompensationExplanationGrp>
        <PersonNm>PETER J DE MARIGNY</PersonNm>
        <ShortExplanationTxt>Accounting Fees, Advocacy Consulting, Business Development, Project Mgmt</ShortExplanationTxt>
      </CompensationExplanationGrp>
    </CompensationExplanation>
    <CompensationExplanation documentId="CompensationExp-385-1548-Copy3">
      <CompensationExplanationGrp>
        <PersonNm>RALPH CARMICHAEL</PersonNm>
        <ShortExplanationTxt>REIMBURSE FOR ATTENDING MEETINGS</ShortExplanationTxt>
      </CompensationExplanationGrp>
    </CompensationExplanation>
    <CompensationExplanation documentId="CompensationExp-385-1548-Copy4">
      <CompensationExplanationGrp>
        <PersonNm>LARRY JOST</PersonNm>
        <ShortExplanationTxt>REIMBURSE FOR ATTENDING MEETINGS</ShortExplanationTxt>
      </CompensationExplanationGrp>
    </CompensationExplanation>
  </ReturnData>
</Return>