FORM 1023-EZ for ASK SAMMY INC

Field Data
EIN 82-3442570
Case Number EO-2019038-000722
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASK SAMMY INC
Organization’s Mailing Address 67 COTTAGE ST
City BRIDGEPORT
State CT
ZIP 6605
Accounting period End 12
Primary contact name SAMARIS ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMARIS ROSE
EXECUTIVE DIRECTOR
67 COTTAGE ST
BRIDGEPORT CT 6605

Officer/Director/Trustee Two

MARITZA BOND
PRESIDENT
323 FAIRFIELD AVE
BRIDGEPORT CT 6604

Officer/Director/Trustee Three

GERRY HOLMES
VICE PRESIDENT
690 CENTRAL AVE
BRIDGEPORT CT 6607

Officer/Director/Trustee Four

SASHA COLLINS
SECRETARY/TREASURER
193 DUPONT PLACE
BRIDGEPORT CT 6605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
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: 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 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 SAMARIS ROSE
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/1/19

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