FORM 1023-EZ for CONSCIOUS COLLABORATIVE
| Field | Data |
|---|---|
| EIN | 46-5395679 |
| Case Number | EO-2021063-000840 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CONSCIOUS COLLABORATIVE |
| Organization’s Mailing Address | 61 RICHARDS RD |
| City | SOUTHBOROUGH |
| State | MA |
| ZIP | 01772 |
| Accounting period End | 12 |
| Primary contact name | LINDSEY KWARTENG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
COBINA LARTSON
PRESIDENT
1312 NW PORTER CIRCLE
BLUE SPRINGS MO 64015
Officer/Director/Trustee Two
LINDSEY KWARTENG
DIRECTOR
26 CHURCH ST
SOUTH PORTLAND ME 04106
Officer/Director/Trustee Three
SIMONE PASSARELLI
SECRETARY
100 ANTRIM STREET
CAMBRIDGE MA 02139
Officer/Director/Trustee Four
ADJEI ABANKWAH
DIRECTOR
890 AURORA PARKWAY
DENVER CO 80204
| Organization’s website | CONSCIOUSCOLLABORATIVE.ORG |
|---|---|
| Organization’s email | CONSCIOUSCOLLABORATIVE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/15/2014 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LINDSEY KWARTENG |
| Signature Title | DIRECTOR |
| Signature Date | 12/31/2020 |
| EIN | 46-5395679 |
| Case Number | EO-2014311-000323 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CONSCIOUS COLLABORATIVE INCORPORATED |
| Organization’s Mailing Address | 765 COLUMBIA RD FL 3 |
| City | DORCHESTER |
| State | MA |
| ZIP | 02125 |
| Accounting period End | 12 |
| Primary contact name | LINDSEY BACON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LINDSEY BACON
PRESIDENT, DIRECTOR
1193 SOUTH BEECH DR APT 208
LAKEWOOD CO 80228
Officer/Director/Trustee Two
SIMONE PASSARELLI
TREASURER, DIRECTOR
69 SKYTOP RD
IPSWICH MA 01938
Officer/Director/Trustee Three
COLLEEN TULLY
CLERK, DIRECTOR
765 COLUMBIA RD NO 3
DORCHESTER MA 02125
Officer/Director/Trustee Four
ELIZABETH NIRENBERG
CHIEF MARKETING OFFICER, DIRECTOR
46 SHANNON ST APT 2
BRIGHTON MA 02135
Officer/Director/Trustee Five
ANA MARIA ION
DIRECTOR
765 COLUMBIA RD NO 3
DORCHESTER MA 02125
| Organization’s website | WWW.CONSCIOUSCOLLABORATIVE.ORG |
|---|---|
| Organization’s email | CONSCIOUSCOLLABORATIVE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/15/2014 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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