FORM 1023-EZ for INTERFAITH SPECIAL NEEDS FUND INC

Field Data
EIN 22-2514127
Case Number EO-2014261-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERFAITH SPECIAL NEEDS FUND INC
Organization’s Mailing Address 330 PARK AVENUE 2ND FLOOR
City BLOOMFIELD
State CT
ZIP 06002
Accounting period End 12
Primary contact name CAMILLA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT BAZYK
PRESIDENT
142 DAY STREET
GRANBY CT 06035

Officer/Director/Trustee Two

RABI GARY ATKINS
SECRETARY
53 VISTA WAY
BLOOMFIELD CT 06002

Officer/Director/Trustee Three

CAMILLA JONES
TREASURER
31 HIGH STREET UNIT 5203
EAST HARTFORD CT 06118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/1983
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
Organization’s purpose Charitable: No
Religious: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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