FORM 1023-EZ for TRUMBULL YOUTH FIELD HOCKEY INC

Field Data
EIN 81-1202758
Case Number EO-2016139-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRUMBULL YOUTH FIELD HOCKEY INC
Organization’s Mailing Address 32 LONGVIEW ROAD
City TRUMBULL
State CT
ZIP 06611
Accounting period End 12
Primary contact name JANE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNDI FLUSKEY
PRESIDENT/DIRECTOR
32 LONGVIEW ROAD
TRUMBULL CT 06611

Officer/Director/Trustee Two

ELIZABETH KLEPACK
VICE-PRESIDENT/DIRECTOR
32 LONGVIEW ROAD
TRUMBULL CT 06611

Officer/Director/Trustee Three

MAUREEN SMITH
SECRETARY/DIRECTOR
32 LONGVIEW ROAD
TRUMBULL CT 06611

Officer/Director/Trustee Four

JANE DAVIS
TREASURER/DIRECTOR
32 LONGVIEW ROAD
TRUMBULL CT 06611

Organization’s website
Organization’s email JANE@RJDAVIS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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