FORM 1023-EZ for THE AGAPE HOUSE INC

Field Data
EIN 81-4185852
Case Number EO-2017060-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE AGAPE HOUSE INC
Organization’s Mailing Address 59 CHEPACHET ROAD
City AVON
State CT
ZIP 06001
Accounting period End 12
Primary contact name EDWARD B SPINELLA ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENE THEBARGE III
PRESIDENT DIRECTOR
59 CHEPACHET ROAD
AVON CT 06001

Officer/Director/Trustee Two

CHRISTINE THEBARGE
TREASURER DIRECTOR
59 CHEPACHET ROAD
AVON CT 06001

Officer/Director/Trustee Three

CHARLES MCCARTHY
VICE PRESIDENT DIRECTOR
133 LINDBERG STREET
TORRINGTON CT 06790

Officer/Director/Trustee Four

ANDREA TANTILLO
SECRETARY DIRECTOR
362 SOUTH STREET - 1L
BRISTOL CT 06010

Officer/Director/Trustee Five

TODD WILLIAMS
DIRECTOR
43 SCHOOL STREET
BRISTOL CT 06010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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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