FORM 1023-EZ for ACUTE CARE GERIATRIC NURSING COLLABORATIVE INC

Field Data
EIN 83-1414315
Case Number EO-2018214-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACUTE CARE GERIATRIC NURSING COLLABORATIVE INC
Organization’s Mailing Address P O BOX 110523
City TRUMBULL
State CT
ZIP 6611
Accounting period End 12
Primary contact name JACQUELINE BOSTICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE BOSTICK
OFFICER
268 BROOKS ST
BRIDGEPORT CT 6608

Officer/Director/Trustee Two

CHRISTINE WASZYNSKI
OFFICER
55 BURNING TREE
GLASTONBURY CT 6033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 Yes
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 JACQUELINE BOSTICK
Signature Title OFFICER
Signature Date 7/31/18

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