FORM 1023-EZ for COLLABORATIVE COMMUNITY SOLUTIONS INC
| Field | Data |
|---|---|
| EIN | 81-4221082 |
| Case Number | EO-2017142-000510 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COLLABORATIVE COMMUNITY SOLUTIONS INC |
| Organization’s Mailing Address | 23 RIBERIA STREET |
| City | SAINT AUGUSTINE |
| State | FL |
| ZIP | 32084 |
| Accounting period End | 12 |
| Primary contact name | PATRICK ENDICOTT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SANDI ZELJKO
CHIEF EXECUTIVE OFFICER
23 RIBERIA STREET
SAINT AUGUSTINE FL 32084
Officer/Director/Trustee Two
PATRICK ENDICOTT
CHIEF FINANCIAL OFFICER
8007 NICKLAUS DRIVE
ORLANDO FL 32825
Officer/Director/Trustee Three
ROBERT HICKS
DIRECTOR
3834 WENDY BOULEVARD
LADY LAKE FL 32159
Officer/Director/Trustee Four
JUAN MARTINEZ
DIRECTOR
122 MANHATTAN AVENUE
NEW YORK NY 10025
Officer/Director/Trustee Five
ROBERT ZELJKO
DIRECTOR
3981 WILL ROGERS DRIVE
SAN JOSE CA 95117
| Organization’s website | WWW.COLLABORATIVECOMMUNITYSOLUTIONS.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/29/2016 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W05 - Research Institutes and/or Public Policy Analysis |
| 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 | 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 | 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 | |
| Signature Title | |
| Signature Date |
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