FORM 1023-EZ for SAN DIEGO CONSORTIUM FOR EXCELLENCEIN NURSING AND ALLIED HEALTH

Field Data
EIN 85-0824495
Case Number EO-2020258-000478
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN DIEGO CONSORTIUM FOR EXCELLENCEIN NURSING AND ALLIED HEALTH
Organization’s Mailing Address 11220 PINESTONE COURT
City SAN DIEGO
State CA
ZIP 92128
Accounting period End 12
Primary contact name AMANDA CHOFLET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY DAVIDSON
CHIEF EXECUTIVE OFFICER
11220 PINESTONE COURT
SAN DIEGO CA 92128

Officer/Director/Trustee Two

REBECCA LONG
CHIEF FINANCIAL OFFICER
4555 DEL MONTE AVE
SAN DIEGO CA 92107

Officer/Director/Trustee Three

LAURIE ECOFF
CHAIRPERSON
7930 FROST STREET SUITE 307
SAN DIEGO CA 92123

Officer/Director/Trustee Four

AMANDA CHOFLET
FINANCIAL DIRECTOR
6145 MESITA DRIVE
SAN DIEGO CA 92115

Officer/Director/Trustee Five

JACQUELINE CLOSE
CHIEF INFORMATION OFFICER
11188 CARLOTA STREET
SAN DIEGO CA 92129

Organization’s website EBPISANDIEGO.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 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 AMANDA CHOFLET
Signature Title FINANCIAL DIRECTOR
Signature Date 9/11/2020

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