FORM 1023-EZ for HARTFORD BRAILLERS BLIND HOCKEY INC

Field Data
EIN 83-1713887
Case Number EO-2018297-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARTFORD BRAILLERS BLIND HOCKEY INC
Organization’s Mailing Address 33 MONROE STEET APT D
City MILFORD
State CT
ZIP 6460-5718
Accounting period End 12
Primary contact name KEITH HALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL KLUG
DIRECTOR; PRESIDENT; SECRETARY
33 MONROE STREET APT D
MILFORD CT 6460-5718

Officer/Director/Trustee Two

KEITH HALEY
DIRECTOR; VICE PRESIDENT; TREASURER
9 CANTERBURY LANE
AVON CT 6001-4509

Officer/Director/Trustee Three

JAMES SADECKI
DIRECTOR
69 EQUESTRIAN ESTATES
BURLINGTON CT 6013-2117

Organization’s website N/A
Organization’s email HARTFORD.BRAILLERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P86 - Blind/Visually Impaired Centers, Services
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 KEITH HALEY
Signature Title DIRECTOR; VICE PRESIDENT; TREASURER
Signature Date 10/22/18

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