FORM 1023-EZ for DAVID CHILDS NEW HARTFORD FISHING DERBY

Field Data
EIN 81-1912862
Case Number EO-2016162-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVID CHILDS NEW HARTFORD FISHING DERBY
Organization’s Mailing Address 745 TOWN HILL ROAD
City NEW HARTFORD
State CT
ZIP 06057
Accounting period End 12
Primary contact name MARK RUSSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK RUSSO
PRESIDENT
745 TOWN HILL ROAD
NEW HARTFORD CT 06057

Officer/Director/Trustee Two

HOLLY BUNN
TREASURER
745 TOWN HILL ROAD
NEW HARTFORD CT 06057

Officer/Director/Trustee Three

ELLEN CHILDS
VICE PRESIDENT
50 BRUNING ROAD
NEW HARTFORD CT 06057

Officer/Director/Trustee Four

LUCINDA DONALDSON
SECRETARY
230 TOWN HILL ROAD
NEW HARTFORD CT 06057

Officer/Director/Trustee Five

GRADY ALLEN
DIRECTOR
102 PROSPECT STREET
NEW HARTFORD CT 06057

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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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