FORM 1023-EZ for THE RENAISSANCE CLUB INC

Field Data
EIN 81-2557706
Case Number EO-2016314-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RENAISSANCE CLUB INC
Organization’s Mailing Address PO BOX 224
City WALLINGFORD
State CT
ZIP 06492
Accounting period End 6
Primary contact name JOENA RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIS PETRUCCI
PRESIDENT
121 SOUTHWIND DR
WALLINGFORD CT 06492

Officer/Director/Trustee Two

DEANNA BENCIVENGO
VICE PRESIDENT
87 SOUTH WHITTLESEY AVE
WALLINGFORD CT 06492

Officer/Director/Trustee Three

GERARD SANDS
TREASURER
35 TERRACE GARDENS
WALLINGFORD CT 06492

Officer/Director/Trustee Four

SALLY BORZSZEWSKI
BOARD MEMBER
72 WHITE TAIL LANE
WALLINGFORD CT 06492

Officer/Director/Trustee Five

JOENA RUSSELL
ASST TREASURER
19 HANOVER ST
WALLINGFORD CT 06492

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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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