FORM 1023-EZ for SMALL BUSINESS FOR A HEALTHY CONNECTICUT INC

Field Data
EIN 36-4690217
Case Number EO-2015238-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMALL BUSINESS FOR A HEALTHY CONNECTICUT INC
Organization’s Mailing Address 1245 FARMINGTON AVE PMB 310
City WEST HARTFORD
State CT
ZIP 06107-2667
Accounting period End 6
Primary contact name JASON STYRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN GALVIN
PRESIDENT
12 MICHAEL DR
FARMINGTON CT 06032-1137

Officer/Director/Trustee Two

JASON STYRA
SECRETARY
148 BEACON ST
HARTFORD CT 06105-2913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2013
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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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