FORM 1023-EZ for WESTWOOD COLLABORATIVE NETWORK

Field Data
EIN 32-0248525
Case Number EO-2016298-000531
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTWOOD COLLABORATIVE NETWORK
Organization’s Mailing Address 115 BROOKLYN AVE
City DAYTON
State OH
ZIP 45417
Accounting period End 12
Primary contact name SIMENOLA MERINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMENOLA MERINER
PRESIDENT
115 BROOKLYN AVE
DAYTON OH 45417

Officer/Director/Trustee Two

SHALLON COLEMAN
VP
PO BOX 61311
DAYTON OH 45406

Officer/Director/Trustee Three

RAMONA TURNER
SEC
PO BOX 61311
DAYTON OH 45406

Officer/Director/Trustee Four

TUDY SCREETCH
TRE
PO BOX 61311
DAYTON OH 45406

Organization’s website WESTWOODCOLLABORATIVEDAYTON.ORG
Organization’s email SMERINER@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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