FORM 1023-EZ for CONNECTICUT PREVENTION NETWORK INC

Field Data
EIN 84-4626541
Case Number EO-2020275-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONNECTICUT PREVENTION NETWORK INC
Organization’s Mailing Address 127 WASHINGTON AVE THIRD FLOOR
City NORTH HAVEN
State CT
ZIP 06473
Accounting period End 6
Primary contact name SARAH LORENZINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA MAUTTE
PRESIDENT
127 WASHINGTON AVE THIRD FLOOR
NORTH HAVEN CT 06473

Officer/Director/Trustee Two

ALLISON FULTON
TREASURER
7 OLD SHERMAN TPKE STE 106
DANBURY CT 06810

Officer/Director/Trustee Three

MARCIA DUFORE
SECRETARY
151 NEW PARK AVE SUITE 14A
HARTFORD CT 06106

Officer/Director/Trustee Four

MICHELLE DEVINE
OFFICER
228 W TOWN ST
NORWICH CT 06360

Officer/Director/Trustee Five

JANICE ANDERSON
OFFICER
2470 FAIRFIELD AVE
BRIDGEPORT CT 06605

Organization’s website CTPREVENTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/1997
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 No
Financial transactions with officers Yes
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 PAMELA MAUTTE
Signature Title PRESIDENT
Signature Date 9/29/2020

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