FORM 1023-EZ for PROJECT 109 INC

Field Data
EIN 85-0858058
Case Number EO-2021098-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT 109 INC
Organization’s Mailing Address 75 ALLEN STREET
City TERRYVILLE
State CT
ZIP 06786
Accounting period End 12
Primary contact name STEFFANI FRANEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEFFANI FRANEK
DIRECTOR
75 ALLEN STREET
TERRYVILLE CT 06786

Officer/Director/Trustee Two

GEORGE FRANEK
DIRECTOR
75 ALLEN STREET
TERRYVILLE CT 06786

Officer/Director/Trustee Three

DORY DZINSKI
DIRECTOR
47 MAPLE AVENUE
CANTON CT 06019

Officer/Director/Trustee Four

AMY THERRIEN
DIRECTOR
118 BOHEMIA STREET
PLAINVILLE CT 06062

Officer/Director/Trustee Five

WENDY ESTELA
DIRECTOR, ATTORNEY
1 COUNTRYSHIRE LN
CLINTON CT 06413

Organization’s website https://www.Project109.org
Organization’s email info@project109.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2020
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEFFANI FRANEK
Signature Title DIRECTOR
Signature Date 3/17/2021

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