FORM 1023-EZ for CRITICAL CONNECTIONS

Field Data
EIN 46-2370920
Case Number EO-2016246-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRITICAL CONNECTIONS
Organization’s Mailing Address 468 INVERNESS LANE
City LONGMEADOW
State MA
ZIP 01106
Accounting period End 12
Primary contact name MEHLAQA SAMDANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEHLAQA SAMDANI
EXECUTIVE DIRECTOR
468 INVERNESS LANE
LONGMEADOW MA 01106

Officer/Director/Trustee Two

BERNARD PELLETIER
PROGRAM DIRECTOR
21 NORTHLIFF DRIVE
W HARTFORD CT 06117

Officer/Director/Trustee Three

MARIAM AWAISI
PROGRAM OFFICER
682 STATION ROAD
AMHERST MA 01002

Organization’s website WWW.CRITICALCONNECTIONS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V05 - Research Institutes and/or Public Policy Analysis
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 Yes
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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