FORM 1023-EZ for STATE OF CONNECTICUT MARTIN LUTHER KING JR HOLIDAY COMMISSION INC

Field Data
EIN 81-4901720
Case Number EO-2017011-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STATE OF CONNECTICUT MARTIN LUTHER KING JR HOLIDAY COMMISSION INC
Organization’s Mailing Address 84D AMBASSADOR DRIVE
City MANCHESTER
State CT
ZIP 06042
Accounting period End 12
Primary contact name JAMES O WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES O WILLIAMS
CHAIRPERSON
84D AMBASSADOR DRIVE
MANCHESTER CT 06042

Officer/Director/Trustee Two

CAROL ANDERSON BLANKS
COMMISSIONER
112 SAINT AUGUSTINE STREET
WEST HARTFORD CT 06110

Officer/Director/Trustee Three

DONNA CAMPBELL
VICE CHAIRPERSON
265 RIDGEFIELD STREET
HARTFORD CT 06112

Officer/Director/Trustee Four

DIANNE JONES
COMMISSIONER
23 HAROLD STREET
HARTFORD CT 06112

Officer/Director/Trustee Five

DIANE LUCAS
COMMISSIONER
31 GREENSWOOD PLACE
SOUTH GLASTONBURY CT 06073

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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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