FORM 1023-EZ for COLORDERM INSTITUTE

Field Data
EIN 84-3010717
Case Number EO-2019269-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLORDERM INSTITUTE
Organization’s Mailing Address 3636 16TH ST NW
City WASHINGTON
State DC
ZIP 20010
Accounting period End 12
Primary contact name RICHARD CORLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD CORLEY
PRESIDENT OF BOARD
3636 16TH ST NW
WASHINGTON DC 20010

Officer/Director/Trustee Two

LEROY NESBITT
BOARDMEMBER
2618 NORTHHAMPTON ST NW
WASHINGTON DC 20010

Officer/Director/Trustee Three

SHELLEY CORLEY
BOARDMEMBER
3636 16TH ST NW
WASHINGTON DC 20010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/19
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
Organization’s purpose Charitable: Yes
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 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 RICHARD CORLEY
Signature Title PRESIDENT OF BOARD
Signature Date 9/24/19

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