FORM 1023-EZ for BETTER LIFE FOR GRIFFIN CORPORATION

Field Data
EIN 81-3040901
Case Number EO-2016278-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETTER LIFE FOR GRIFFIN CORPORATION
Organization’s Mailing Address 85 CHERRY CIR
City GROTON
State CT
ZIP 06340
Accounting period End 12
Primary contact name KERRI SOSINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK FLAWS
PRESIDENT
85 RIVER ROAD
ESSEX CT 06426

Officer/Director/Trustee Two

JASON FOSS
TREASURER
105 GEER AVENUE
NORWICH CT 06360

Officer/Director/Trustee Three

HEIDI SHELDON
SECRETARY
148 PROTEUS
GROTON CT 06340

Officer/Director/Trustee Four

KERRI SOSINSKI
OFFICER
85 CHERRY CIR
GROTON CT 06340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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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