FORM 1023-EZ for DOMINICA TRI STATE AREA CONNECTION#NAME?

Field Data
EIN 45-2809110
Case Number EO-2019081-000484
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINICA TRI STATE AREA CONNECTION#NAME?
Organization’s Mailing Address 370 HARLEM AVE
City BRIDGEPORT
State CT
ZIP 6606
Accounting period End 12
Primary contact name MONA STOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MANN
PRESIDENT/CHAIRMAN
370 HARLEM AVE
BRIDGEPORT CT 6606-4536

Officer/Director/Trustee Two

GAMELIEL MOSES
VICE PRESIDENT
319 DIVISION STREET
NEW HAVEN CT 6511

Officer/Director/Trustee Three

SHERRY BANNIS
SECRETARY
4 UNIVERSITY PL
NEW HAVEN CT 6511

Officer/Director/Trustee Four

MONA STOWE
TREASURER
742 STUYVESANT AVE
IRVINGTON NJ 7111-1818

Officer/Director/Trustee Five

DERRICK MANN
PUBLIC RELATIONS OFFICER
370 HARLEM AVE
BRIDGEPORT CT 6606-4536

Organization’s website
Organization’s email DOMINICACONNECTION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/13
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 MONA STOWE
Signature Title TREASURER
Signature Date 3/20/19
EIN 45-2809110
Case Number EO-2019081-000484
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINICA TRI STATE AREA CONNECTION #NAME?
Organization’s Mailing Address 370 HARLEM AVE
City BRIDGEPORT
State CT
ZIP 6606
Accounting period End 12
Primary contact name MONA STOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MANN
PRESIDENT/CHAIRMAN
370 HARLEM AVE
BRIDGEPORT CT 6606-4536

Officer/Director/Trustee Two

GAMELIEL MOSES
VICE PRESIDENT
319 DIVISION STREET
NEW HAVEN CT 6511

Officer/Director/Trustee Three

SHERRY BANNIS
SECRETARY
4 UNIVERSITY PL
NEW HAVEN CT 6511

Officer/Director/Trustee Four

MONA STOWE
TREASURER
742 STUYVESANT AVE
IRVINGTON NJ 7111-1818

Officer/Director/Trustee Five

DERRICK MANN
PUBLIC RELATIONS OFFICER
370 HARLEM AVE
BRIDGEPORT CT 6606-4536

Organization’s website
Organization’s email DOMINICACONNECTION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/13
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 MONA STOWE
Signature Title TREASURER
Signature Date 3/20/19

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