FORM 1023-EZ for THE ORIGINAL WATERFORD COMMUNITY BAND

Field Data
EIN 46-5561983
Case Number EO-2015068-000950
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ORIGINAL WATERFORD COMMUNITY BAND
Organization’s Mailing Address 84 TOWN STREET
City EAST HADDAM
State CT
ZIP 06423-1423
Accounting period End 12
Primary contact name CHRISTINA BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY BURKE
PRESIDENT
84 TOWN STREET
EAST HADDAM CT 06423-1423

Officer/Director/Trustee Two

ROBERT BORCHERT
SECRETARY
59 HALE HAVEN COURT
UNCASVILLE CT 06382-2225

Officer/Director/Trustee Three

RON MILLER
TREASURER
48 NORMAN DRIVE
GALES FERRY CT 06335-1520

Officer/Director/Trustee Four

MICHAEL LAZAR
DIRECTOR
63 STONEYWOOD DRIVE
NIANTIC CT 06357-1830

Officer/Director/Trustee Five

DAN SELTZER
DIRECTOR
30 TRUMBULL ROAD
WATERFORD CT 06385-2727

Organization’s website HTTP://WWW.WATERFORDCOMMUNITYBAND.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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