FORM 1023-EZ for CONNECTICUT ASSOCIATION OF OCCUPATIONAL HEALTH NURSES INCORPORATED

Field Data
EIN 61-1079831
Case Number EO-2015100-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNECTICUT ASSOCIATION OF OCCUPATIONAL HEALTH NURSES INCORPORATED
Organization’s Mailing Address 22 MINERVA LANE
City LITCHFIELD
State CT
ZIP 06759
Accounting period End 12
Primary contact name RICHARD SANDRIB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD SANDRIB
PRESIDENT
22 MINERVA LANE
LITCHFIELD CT 06759

Officer/Director/Trustee Two

SYRENE ROBBINS
VICE PRESIDENT
10 LEIGHTON ROAD
MILFORD CT 06460

Officer/Director/Trustee Three

JOHANNA LINNERSTEN
SECRETARY
115 JOHN OLDS DRIVE NUMBER 106
MANCHESTER CT 06462

Officer/Director/Trustee Four

KAREN ROSS
TREASURER
36 WATKINS DRIVE
SANDY HOOK CT 06482

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2000
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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