FORM 1023-EZ for CAPITAL COLLABORATIVE GROUP INC

Field Data
EIN 82-5257879
Case Number EO-2019053-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPITAL COLLABORATIVE GROUP INC
Organization’s Mailing Address 851 EAST PARK AVENUE
City TALLAHASSEE
State FL
ZIP 32301
Accounting period End 6
Primary contact name BARBARA POPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BORNTREGER
PRESIDENT
2520-1 BARRINGTON CIRCLE
TALLAHASSEE FL 32308

Officer/Director/Trustee Two

JERRY RUMPH
VICE PRESIDENT
2810 REMINGTON GREEN CIRCLE
TALLAHASSEE FL 32308

Officer/Director/Trustee Three

BARBARA POPLE
TREASURER
PO BOX 13645
TALLAHASSEE FL 32317-3645

Officer/Director/Trustee Four

CHRISTIN GONZALEZ
SECRETARY
851 EAST PARK AVENUE
TALLAHASSEE FL 32301

Officer/Director/Trustee Five

DEBRA WEAVER
DIRECTOR II
2880 CAPITAL MEDICAL BLVD SUITE 2
TALLAHASSEE FL 32308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 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 BARBARA POPLE
Signature Title TREASURER
Signature Date 2/20/19

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