FORM 1023-EZ for WEST END ASSOCIATION

Field Data
EIN 45-3785192
Case Number EO-2016025-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST END ASSOCIATION
Organization’s Mailing Address 64 WEST ST
City BRISTOL
State CT
ZIP 06010
Accounting period End 12
Primary contact name DAVID HAMELIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID HAMELIN
PRESIDENT
64 WEST ST
BRISTOL CT 06010

Officer/Director/Trustee Two

TIMOTHY BOBROSKE
VICE PRESIDENT
144 NORTH MAIN ST
TERRYVILLE CT 06786

Officer/Director/Trustee Three

SAMUEL VASILE
TREASURER
141 WEST ST
BRISTOL CT 06010

Officer/Director/Trustee Four

KELLY STEVENS
SECRETARY
56 GRIDLEY ST
BRISTOL CT 06010

Organization’s website WESTENDBRISTOL.ORG
Organization’s email WESTENDBRISTOL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2012
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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