FORM 1023-EZ for DIRECTORS OF CLINICAL SKILLS COURSES

Field Data
EIN 47-4119708
Case Number EO-2015152-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIRECTORS OF CLINICAL SKILLS COURSES
Organization’s Mailing Address 240 E HURON RM 1-443
City CHICAGO
State IL
ZIP 60611-2909
Accounting period End 12
Primary contact name TOSHIKO UCHIDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANCIS STANFORD MASSIE JR
PRESIDENT
1720 2ND AVE SOUTH FOT 720
BIRMINGHAM AL 35294-0113

Officer/Director/Trustee Two

MATTHEW MINTZ
IMMEDIATE PAST PRESIDENT
2300 EYE STREET NW ROSS HALL 733-C
WASHINGTON DC 20037-0001

Officer/Director/Trustee Three

MICHELLE DANIEL
PRESIDENT-ELECT
32 RIVER RUN
EAST GREENWICH RI 02818-1570

Officer/Director/Trustee Four

SARA TARIQ
SECRETARY
4301 WEST MARKHAM SLOT 735
LITTLE ROCK AR 72205-7101

Officer/Director/Trustee Five

TOSHIKO UCHIDA
TREASURER
240 E HURON RM 1-443
CHICAGO IL 60611-2909

Organization’s website WWW.DIRECTORSOFCLINICALSKILLSCOURSES.COM
Organization’s email DIRECTORSOFCLINICALSKILLS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G03 - 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 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
Signature Title
Signature Date

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