FORM 1023-EZ for CLINTON PLACEMAKERS INC

Field Data
EIN 47-2531623
Case Number EO-2014351-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINTON PLACEMAKERS INC
Organization’s Mailing Address 19 STONY POINT ROAD
City CLINTON
State CT
ZIP 06413-1646
Accounting period End 12
Primary contact name JENETTE CASTRO ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN ALLEN
PRESIDENT, DIRECTOR
15 HOUPERTS WAY
CLINTON CT 06413-1265

Officer/Director/Trustee Two

MARY ELLEN DAHLGREN
SECRETARY, DIRECTOR
19 STONY POINT ROAD
CLINTON CT 06413-1646

Officer/Director/Trustee Three

MAURICE CARR
TREASURER, DIRECTOR
9 OSPREY COMMONS
CLINTON CT 06413-2713

Officer/Director/Trustee Four

ALAN KRAVITZ
DIRECTOR
32 MERRILL ROAD
CLINTON CT 06413-2309

Officer/Director/Trustee Five

LISE DESPRES GAZZILLO
DIRECTOR
15 CHRISTINA COURT
CLINTON CT 06413-1050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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