FORM 1023-EZ for ELLIE RAE KABUKI WARRIOR FOUNDATION

Field Data
EIN 83-4210676
Case Number EO-2019213-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELLIE RAE KABUKI WARRIOR FOUNDATION
Organization’s Mailing Address PO BOX 710
City BETHLEHEM
State CT
ZIP 6751
Accounting period End 12
Primary contact name DAVID C HADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID C HADDEN
PRESIDENT
116 HARRISON LANE
BETHLEHEM CT 6751

Officer/Director/Trustee Two

JEFFREY G CONLON
VICE PRESIDENT
10 CARMEL HILL RD
BETHLEHEM CT 6751

Officer/Director/Trustee Three

KATIE LAPOINTE
TREASURER
94 LAKES RD
BETHLEHEM CT 6751

Officer/Director/Trustee Four

PENNY THOMAS
STRATEGIC PROJECT MANAGER
46 KASSON AVE
BETHLEHEM CT 6751

Officer/Director/Trustee Five

MARGARET M FLANAGAN
STRATEGIC PROJECT MANAGER
56 PADDY HOLLOW RD
BETHLEHEM CT 6751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 DAVID C HADDEN
Signature Title PRESIDENT
Signature Date 7/30/19

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