FORM 1023-EZ for COLLABORATION NATION

Field Data
EIN 83-3889900
Case Number EO-2019291-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLABORATION NATION
Organization’s Mailing Address 923 SETTLERS RIDGE
City PITTSBURGH
State PA
ZIP 15238
Accounting period End 12
Primary contact name JAMES PELLEGRINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES PELLEGRINO
CHAIRPERSON
130 N GARLAND CT APT 3804
CHICAGO IL 60602

Officer/Director/Trustee Two

WESLEY WALDRUP
VICE CHAIRPERSON
5908 BRYANT ST
PITTSBURGH PA 15206

Officer/Director/Trustee Three

REALITY CANTY
TREASURER
2032 ANZA ST
SAN FRANCISCO CA 94118

Officer/Director/Trustee Four

NEYSHA ARCELAY
SECRETARY
2545 RAILROAD ST
PITTSBURGH PA 15222

Officer/Director/Trustee Five

PAUL LEMAHIEU
DIRECTOR
900 UCCELLI DR APT 9303
REDWOOD CITY CA 94063

Organization’s website REMAKELEARNING.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 JAMES PELLEGRINO
Signature Title CHAIRPERSON
Signature Date 10/16/19

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