FORM 1023-EZ for COLLINS SCHOOL HOUSE INC

Field Data
EIN 47-4611400
Case Number EO-2015272-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLINS SCHOOL HOUSE INC
Organization’s Mailing Address 3750 W STATE ROAD 120
City FREMONT
State IN
ZIP 46737
Accounting period End 12
Primary contact name BRETT M COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOUISE MILLER
CHAIRMAN
16 STANTONVILLE
OAKLAND CA 94619

Officer/Director/Trustee Two

CLAUDIA SMITH
VICE-CHAIR
295 LN 340 JIMMERSON LAKE
FREMONT IN 46737

Officer/Director/Trustee Three

BRETT COLLINS
TREASURER
3750 W STATE ROAD 120
FREMONT IN 46737

Officer/Director/Trustee Four

LORRAINE THROOP
SECRETARY
580 LN 340 JIMMERSON LAKE
FREMONT IN 46737

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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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