FORM 1023-EZ for HETTIE PLACE INC

Field Data
EIN 47-1370615
Case Number EO-2015135-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HETTIE PLACE INC
Organization’s Mailing Address 451 TOLLAND ST
City EAST HARTFORD
State CT
ZIP 06108
Accounting period End 12
Primary contact name WYOLENE HASLAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WYOLENE HASLAM
PRESIDENT
449 TOLLAND ST
EAST HARTFORD CT 06108

Officer/Director/Trustee Two

DEVONNA HAYES
SECRETARY
87 GREENWOOD DRIVE
MANCHESTER CT 06040

Officer/Director/Trustee Three

JOE POUNCEY
ACCOUNTANT
40 B-3 HILLSIDE ST
EAST HARTFORD CT 06108

Organization’s website WWW.HETTIEPLACE.COM
Organization’s email BWYOLENE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2015
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 Yes
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
Signature Title
Signature Date

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