FORM 1023-EZ for REGION 10 MAKE A MARK INC
| Field | Data |
|---|---|
| EIN | 84-1764369 |
| Case Number | EO-2019200-000312 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REGION 10 MAKE A MARK INC |
| Organization’s Mailing Address | 23 DEERFIELD TRACE |
| City | BURLINGTON |
| State | CT |
| ZIP | 6013 |
| Accounting period End | 12 |
| Primary contact name | COLLEEN VERVERIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
COLLEEN VERVERIS
PRESIDENT DIRECTOR
23 DEERFIELD TRACE
BURLINGTON CT 6013
Officer/Director/Trustee Two
BRUCE BURNETT
VICE PRESIDENT DIRECTOR
22 BROOKFIELD ROAD
HARWINTON CT 6791
Officer/Director/Trustee Three
PAUL HONIG
TREASURER DIRECTOR
71 TOWN LINE RD
HARWINTON CT 6791
Officer/Director/Trustee Four
STEPHANIE COWGER
SECRETARY DIRECTOR
6 MERIMAN DR
BURLINGTON CT 6013
| Organization’s website | WWW.MAKEAMARKFOUNDATION.ORG |
|---|---|
| Organization’s email | MAKEAMARKR10@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/14/19 |
| Organization Incorporation State | CT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B25 - Secondary, High School |
| 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 | 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 | 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 | COLLEEN VERVERIS |
| Signature Title | PRESIDENT DIRECTOR |
| Signature Date | 7/17/19 |
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