FORM 1023-EZ for COLLABORATION OF LICENSED NURSES INC

Field Data
EIN 82-1156289
Case Number EO-2017117-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLABORATION OF LICENSED NURSES INC
Organization’s Mailing Address 473 JEANNE COURT APT 3
City WOOD DALE
State IL
ZIP 60191
Accounting period End 12
Primary contact name NELL GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NELL GRIFFIN
DIRECTOR
473 JEANNE COURT APT 3
WOOD DALE IL 60191

Officer/Director/Trustee Two

RENEE STEPNEY
DIRECTOR
22528 CRESCENT WAY
RICHTON PARK IL 60471

Officer/Director/Trustee Three

CAROLYN RAYNER
DIRECTOR
16459 LOCKRIDGE AVE
OAK FOREST IL 60452

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 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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