FORM 1023-EZ for STONINGTON HIGH SCHOOL ATHLETIC HALL OF FAME INC

Field Data
EIN 83-0862194
Case Number EO-2018340-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STONINGTON HIGH SCHOOL ATHLETIC HALL OF FAME INC
Organization’s Mailing Address 176 SOUTH BROAD STREET
City PAWCATUCK
State CT
ZIP 6379
Accounting period End 12
Primary contact name SAMUEL J AGNELLO SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL AGNELLO
CHAIRMAN
18 ELAINE STREET
PAWCATUCK CT 6379

Officer/Director/Trustee Two

DANE LEWIS
CO-CHAIRMAN
228 WHEELER ROAD
STONINGTON CT 6378

Officer/Director/Trustee Three

MARK FRIESE
SECRETARY
108 PHILLIPS ROAD
LISBON CT 6351

Officer/Director/Trustee Four

LAWRENCE THEADORE
TREASURER
4 EAST ENTERPRISE AVENUE
PAWCATUCK CT 6379

Organization’s website STONINGTONHIGH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 SAMUEL AGNELLO
Signature Title CHAIRMAN
Signature Date 12/4/18

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