FORM 1023-EZ for BRUSH AND PALETTE CLUB INC

Field Data
EIN 81-2128165
Case Number EO-2016102-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRUSH AND PALETTE CLUB INC
Organization’s Mailing Address 204 HIGH STREET
City WALLINGFORD
State CT
ZIP 06492
Accounting period End 12
Primary contact name IAN BJORKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE CHANDLER
PRESIDENT, TREASURER
204 HIGH STREET
WALLINGFORD CT

Officer/Director/Trustee Two

GEORGE MANNING
VICE-PRESIDENT
9 SHEFFIELD ROAD
NORTH HAVEN CT 06473

Officer/Director/Trustee Three

IAN BJORKMAN
SECRETARY
900 CHAPEL STREET SUITE 621
NEW HAVEN CT

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
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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