FORM 1023-EZ for VALLEY DEAF CLUB INC

Field Data
EIN 81-2168952
Case Number EO-2016109-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VALLEY DEAF CLUB INC
Organization’s Mailing Address 38 CAMDEN STREET
City FAIRFIELD
State CT
ZIP 06825
Accounting period End 6
Primary contact name CHRIS WHITNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER WHITNEY
PRESIDENT
38 CAMDEN STREET
FAIRFIELD CT 06825

Officer/Director/Trustee Two

JEFF WHEELER
VICE PRESIDENT
8 BRIGHHAM ROAD
PAXTON MA 01612

Officer/Director/Trustee Three

BRETT CHRISTENSEN
ATHLETIC DIRECTOR
155 OLD ZOAR ROAD
MONROE CT 06468

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy 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 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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