FORM 1023-EZ for COVENTRY LAKE COMMUNITY ROWING INC

Field Data
EIN 47-1140512
Case Number EO-2015072-000772
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COVENTRY LAKE COMMUNITY ROWING INC
Organization’s Mailing Address 412 BROWNS ROAD
City STORRS
State CT
ZIP 06268-2707
Accounting period End 12
Primary contact name DR RONALD COTTERILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWARD KEAGLE
PRESIDENT DIRECTOR
50 SLADE ROAD
ASHFORD CT 06278

Officer/Director/Trustee Two

RONALD COTTERILL
TREASURER DIRECTOR
412 BROWNS ROAD
MANSFIELD CT 06268-2707

Officer/Director/Trustee Three

CAROLE HOPKINS
SECRETARY DIRECTOR
38 OAK LEAF DRIVE
COVENTRY CT 06238

Officer/Director/Trustee Four

MATT HICKEY
DIRECTOR
61 BARNSBEE LANE
COVENTRY CT 06238

Officer/Director/Trustee Five

VICTORIA SALAI
DIRECTOR
971 WARRENSVILLE ROAD
MANSFIELD CENTER CT 06250

Organization’s website
Organization’s email COVENTRYLAKEROW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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