FORM 1023-EZ for SAINT JOHN INTENSIVE OUTPATIENT PROGRAM
| Field | Data |
|---|---|
| EIN | 82-2733515 |
| Case Number | EO-2017275-000586 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SAINT JOHN INTENSIVE OUTPATIENT PROGRAM |
| Organization’s Mailing Address | 36 GLENWOOD ROAD |
| City | SOUTH WINDSOR |
| State | CT |
| ZIP | 06074 |
| Accounting period End | 12 |
| Primary contact name | DONNA MAROTTO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DONNA MAROTTO
PRESIDENT
36 GLENWOOD ROAD
SOUTH WINDSOR CT 06074-3026
Officer/Director/Trustee Two
JAYSON BRUNELL
VICE PRESIENT
28 ARMSTRONG ROAD
COVENTRY CT 06238-3356
Officer/Director/Trustee Three
PATRICK BIGGINS
SECRETARY
11 ALPS DRIVE
EAST HARTFORD CT 06108-1402
Officer/Director/Trustee Four
RICHARD CARTERUD
TREASURER
5 NANCY DRIVE
SOUTH WINDSOR CT 06074-4244
| Organization’s website | N/A |
|---|---|
| Organization’s email | MAROTTODONNA@YAHOO.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/8/2017 |
| Organization Incorporation State | CT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F50 - Addictive Disorders N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | 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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