FORM 1023-EZ for CAPITAL DISTRICT NURSING RESEARCH ALLIANCE INC

Field Data
EIN 20-2088053
Case Number EO-2016224-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPITAL DISTRICT NURSING RESEARCH ALLIANCE INC
Organization’s Mailing Address 2113 WESTERN AVE SUITE 5
City GUILDERLAND
State NY
ZIP 12084
Accounting period End 6
Primary contact name MARILYN STAPLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN STAPLETON
PRESIDENT
2113 WESTERN AVE SUITE 5
GUILDERLAND NY 12084

Officer/Director/Trustee Two

MARY LEE POLLARD
VICE PRESIDENT
2113 WESTERN AVE SUITE 5
GUILDERLAND NY 12084

Officer/Director/Trustee Three

PATRICIA EDWARDS
TREASURER
2113 WESTERN AVE SUITE 5
GUILDERLAND NV 12084

Officer/Director/Trustee Four

LINDA MILLENBACH
DIRECTOR AT LARGE
2113 WESTERN AVE SUITE 5
GUILDERLAND NY 12084

Officer/Director/Trustee Five

SUSAN BIRKHEAD
SECRETARY
2113 WESTERN AVE SUITE 5
GUILDERLAND NV 12084

Organization’s website CAPITALDISTRICTNURSINGRESEARCHALLIANCE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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