FORM 1023-EZ for CONGAMOND LAKES ENVIRONMENTAL PROTECTION ORGANIZATION

Field Data
EIN 47-1174091
Case Number EO-2014231-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONGAMOND LAKES ENVIRONMENTAL PROTECTION ORGANIZATION
Organization’s Mailing Address 451 LAKE ROAD
City WEST SUFFIELD
State CT
ZIP 06093
Accounting period End 12
Primary contact name CHRISTINE PEPKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON WESTON
PRESIDENT
333 GRIFFIN ROAD
WEST SUFFIELD CT 06093

Officer/Director/Trustee Two

CHRISTINE PEPKA
TREASURER
451 LAKE ROAD
WEST SUFFIELD CT 06093

Officer/Director/Trustee Three

BILL JENKINS
PUBLIC RELATIONS
440 LAKE ROAD
WEST SUFFIELD CT 06093

Officer/Director/Trustee Four

TARA LENNOX
Social MEDIA DIRECTOR
217 PILGRIM LANE
WEST SUFFIELD CT 06093

Officer/Director/Trustee Five

MARLIES NAJAKA
COMMUNICATIONS DIRECTOR
445 LAKE ROAD
WEST SUFFIELD CT 06093

Organization’s website HTTP://WWW.CLEPO.ORG
Organization’s email MAILCLEP.ORG@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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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