FORM 1023-EZ for NORWICH BULLY BUSTERS

Field Data
EIN 82-2765934
Case Number EO-2018151-000050
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORWICH BULLY BUSTERS
Organization’s Mailing Address 87 BROADWAY
City NORWICH
State CT
ZIP 6360
Accounting period End 12
Primary contact name DEBORAH KIEVITS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH KIEVITS
PRESIDENT
252 OLD CANTERBURY TURNPIKE
NORWICH CT 6360

Officer/Director/Trustee Two

LORI BAPTISTE
VICE PRESIDENT
252 OLD CANTERBURY TURNPIKE LOT 35
NORWICH CT 6360

Officer/Director/Trustee Three

JENNIFER WEIGARD-WATKINSON
SECRETARY
16 WEST ST
NORWICH CT 6360

Officer/Director/Trustee Four

PATRICE DAVID
TREASURER
361 WAWECUS HILL RD
NORWICH CT 6360

Officer/Director/Trustee Five

KATHERINE ROSE
DEPUTY TREASURER
124 BALTIC RD
NORWICH CT 6360

Organization’s website WWW.NORWICHBULLYBUSTERS.COM
Organization’s email DKIEVITS@NORWICHBULLYBUSTERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
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 DEBORAH KIEVITS
Signature Title PRESIDENT
Signature Date 5/29/18

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