FORM 1023-EZ for CLEVELAND COLLABORATORY
| Field | Data |
|---|---|
| EIN | 81-3888959 |
| Case Number | EO-2016265-000270 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEVELAND COLLABORATORY |
| Organization’s Mailing Address | 82 ELM STREET |
| City | GENEVA |
| State | OH |
| ZIP | 44041 |
| Accounting period End | 12 |
| Primary contact name | JOHN BALASH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN BALASH
PRESIDENT
82 ELM STREET
GENEVA OH 44041
Officer/Director/Trustee Two
ELIZABETH KEEGAN
CHIEF EXECUTIVE OFFICER
13800 FAIRHILL ROAD
SHAKER HEIGHTS OH 44120
Officer/Director/Trustee Three
JAMES SHOREY
SECRETARY
2952 FAIRMOUNT BLVD
CLEVELAND HEIGHTS OH 44118-4061
Officer/Director/Trustee Four
JOHN LUTRAN
CHIEF INFORMATION OFFICER
1314 SIMICH DRIVE
SEVEN HILLS OH 44131
| Organization’s website | CLEVELANDCOLABORATORY.ORG |
|---|---|
| Organization’s email | J.BALASH@CLEVELANDCOLABORATORY.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/2016 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B20 - Elementary, Secondary Education, K - 12 |
| Organization’s purpose | Charitable: No 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 | 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 | |
| Signature Title | |
| Signature Date |
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