FORM 1023-EZ for AMARANT VILLAGE INC

Field Data
EIN 81-1649803
Case Number EO-2016098-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMARANT VILLAGE INC
Organization’s Mailing Address 38 DEER RUN RD
City WINDHAM
State VA
ZIP 06280
Accounting period End 12
Primary contact name LESLIE HARRIS COSGROVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE COSGROVE
FOUNDER CEO
38 DEER RUN RD
WINDHAM CT 06280

Officer/Director/Trustee Two

MAME SYLLA
BOARD MEMBER, TREASURER
2439 BIRCH COVE RD
HERNDON VA 20171

Officer/Director/Trustee Three

APRIL GANGEMI
BOARD MEMBER, SECRETARY
2819 WINCHESTER WAY
FALLS CHURCH VA 22042

Organization’s website
Organization’s email AMARANTVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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