FORM 1023-EZ for A PROMISE TO JORDAN

Field Data
EIN 83-3033636
Case Number EO-2019031-000857
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A PROMISE TO JORDAN
Organization’s Mailing Address 120 OLD CANAL WAY
City WEATOGUE
State CA
ZIP 6089
Accounting period End 12
Primary contact name DANIEL MILLSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA GRAY
PRESIDENT
120 OLD CANAL WAY
WAETOGUE CT 6089

Officer/Director/Trustee Two

DANIEL MILLSTEIN
VICE PRESIDENT
5 NILAS WAY
SIMSBURY CT 6070

Officer/Director/Trustee Three

MICHELLE VOEGTLE
SECRETARY
2 WESTDRIDGE DRIVE
SIMSBURY CT 6070

Officer/Director/Trustee Four

JOHN WILLIAM DAVEY
TREASURER
264 HOWARD AVENUE
NEW HAVEN CT 6519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL MILLSTEIN
Signature Title VICE PRESIDENT
Signature Date 1/7/19

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