FORM 1023-EZ for CLEVELAND CO-LABS INC

Field Data
EIN 81-2902618
Case Number EO-2016298-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEVELAND CO-LABS INC
Organization’s Mailing Address 200 PUBLIC SQUARE SUITE 2300
City CLEVELAND
State OH
ZIP 44114
Accounting period End 12
Primary contact name JEFF MCCOURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIZ FORRESTER
DIRECTOR
1375 EUCLID AVENUE
CLEVELAND OH 44115

Officer/Director/Trustee Two

JEFF MCCOURT
DIRECTOR, SECRETARY, VICE PRESIDENT
200 PUBLIC SQUARE SUITE 2300
CLEVELAND OH 44114

Officer/Director/Trustee Three

NURETE BRENNER
DIRECTOR
2550 LANDER ROAD
PEPPER PIKE OH 44124

Officer/Director/Trustee Four

KARA HORNIKEL
DIRECTOR, TREASURER, VICE PRESIDENT
2274 THURMAN AVENUE
CLEVELAND OH 44113

Officer/Director/Trustee Five

ADAM DUNN
DIRECTOR, PRESIDENT
3810 WOODBINE AVE
CLEVELAND OH 44113

Organization’s website WWW.CLEVELANDCOLAB.COM
Organization’s email CLEVELANDCOLAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 Yes
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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