FORM 1023-EZ for COL4A1 FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-0931334 |
| Case Number | EO-2018180-000536 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COL4A1 FOUNDATION |
| Organization’s Mailing Address | 4089 BRAINARD RD |
| City | CHAGRIN FALLS |
| State | OH |
| ZIP | 44022 |
| Accounting period End | 12 |
| Primary contact name | SHEENA MCGEE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHEENA MCGEE
PRESIDENT
4089 BRAINARD RD
CHAGRIN FALLS OH 44022-1401
Officer/Director/Trustee Two
JASON MCGEE
TREASURER
4089 BRAINARD RD
CHAGRIN FALLS OH 44022-1401
Officer/Director/Trustee Three
SARA-ELLEN L BURNETT
VICE PRESIDENT
2425 BURLINGTON AVE NORTH
SAINT PETERSBURG FL 33713-8842
Officer/Director/Trustee Four
CATHERINE FAULS
SECRETARY
8280 ORLEANS BLVD
UNION KY 41091-8800
Officer/Director/Trustee Five
BRIAN CORRIGAN
DIRECTOR
3073 FAIRFAX ROAD
CLEVELAND OH 44118-4057
| Organization’s website | HTTP://WWW.COL4A1.ORG |
|---|---|
| Organization’s email | INFO@COL4A1.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/14/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G20 - Birth Defects and Genetic Diseases |
| 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 | Yes |
| 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 | 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 | SHEENA MCGEE |
| Signature Title | PRESIDENT |
| Signature Date | 6/27/18 |
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