FORM 1023-EZ for CONNECTICUT GI CHARITABLE FOUNDATION INC

Field Data
EIN 81-2920599
Case Number EO-2016172-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNECTICUT GI CHARITABLE FOUNDATION INC
Organization’s Mailing Address 85 SEYMOUR ST STE 1000
City HARTFORD
State CT
ZIP 06106
Accounting period End 12
Primary contact name JEFFREY WEISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY WEISER
PRESIDENT, DIRECTOR
85 SEYMOUR ST STE 1000
HARTFORD CT 06106

Officer/Director/Trustee Two

MICHELLE SMEDLEY
SECRETARY, DIRECTOR
85 SEYMOUR ST STE 1000
HARTFORD CT 06106

Officer/Director/Trustee Three

JOSEPH CAPPA
TREASURER, DIRECTOR
85 SEYMOUR ST STE 1000
HARTFORD CT 06106

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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