FORM 1023-EZ for BELLA VITA FOUNDATION INC

Field Data
EIN 82-3228042
Case Number EO-2017324-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLA VITA FOUNDATION INC
Organization’s Mailing Address 214 HARRISON ROAD
City CHESHIRE
State CT
ZIP 06410
Accounting period End 6
Primary contact name DAVID M CIAMPI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSANNE COOK
PRESIDENT
66 OXBOW ROAD
HIGGANUM CT 06441

Officer/Director/Trustee Two

CHRISTINE FONTANA
VICE PRESIDENT
19 AUTUMN RIDGE ROAD
BRANFORD CT 06405

Officer/Director/Trustee Three

DAVID COONEY
BOARD MEMBER
131 OAK STREET
HARTFORD CT 06126

Officer/Director/Trustee Four

MICHAEL S GOZZO
BOARD MEMBER
214 HARRISON ROAD
CHESHIRE CT 06410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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