FORM 1023-EZ for SAINT VALENTINE EPILEPSY FOUNDATIONCORPORATION
| Field | Data |
|---|---|
| EIN | 84-2725094 |
| Case Number | EO-2019234-000353 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAINT VALENTINE EPILEPSY FOUNDATIONCORPORATION |
| Organization’s Mailing Address | 13 ORCHARD STREET |
| City | COS COB |
| State | CT |
| ZIP | 6807 |
| Accounting period End | 12 |
| Primary contact name | CAROL HEPP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
FELICIA BORSELIO
PRESIDENT
13 ORCHARD STREET
COS COB CT 6807
Officer/Director/Trustee Two
DANIEL HEPP
TREASURER AND CO-DIRECTOR
25 INGLENOOK ROAD
NEW FAIRFIELD CT 6812
Officer/Director/Trustee Three
CAROL HEPP
SECRETARY AND CO-DIRECTOR
13 ORCHARD STREET
COS COB CT 6807
Officer/Director/Trustee Four
NICHOLAS BORSELIO
CO-DIRECTOR
23 CARY ROAD
RIVERSIDE CT 6878
| Organization’s website | SAINTVALENTINEEPILEPSY.OR |
|---|---|
| Organization’s email | INFO@SAINTVALENTINEEPILEPSY.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/12/19 |
| Organization Incorporation State | CT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G54 - Epilepsy |
| 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 | 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 | FELICIA BORSELIO |
| Signature Title | PRESIDENT |
| Signature Date | 8/20/19 |
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