| Field | Data |
|---|---|
| EIN | 83-2010643 |
| Case Number | EO-2018340-000334 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NEW HAVEN COUNTY MEDICAL ASSOCIATION INC |
| Organization’s Mailing Address | 101 OAK STREET |
| City | HARTFORD |
| State | CT |
| ZIP | 6106 |
| Accounting period End | 12 |
| Primary contact name | JILLIAN WOOD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
RON ADELMAN
PRESIDENT, DIRECTOR
52 QUARRY LANE
HAMDEN CT 6518
DEBORAH DESIR
PRESIDENT ELECT, DIRECTOR
11 ZAK HILL DRIVE
WOODBRIDGE CT 6525
ELSA STONE
TREASURER,SECRETARY, DIRECTOR
1 MOOSE HILL ROAD
GUILFORD CT 6437
BRIAN KEYES
DIRECTOR
38 BAYBERRY LANE
LANE CT 6525
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/13/18 |
| Organization Incorporation State | CT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B60 - Adult, Continuing Education |
| Organization’s purpose | Charitable: Yes Religious: No 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 | Yes |
| 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 | BRIAN KEYES |
| Signature Title | DIRECTOR |
| Signature Date | 12/3/18 |
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