FORM 1023-EZ for HB4 DIVERSITY INC

Field Data
EIN 83-4509841
Case Number EO-2019198-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HB4 DIVERSITY INC
Organization’s Mailing Address 18 ORCHARD HILL ROAD
City HARWINTON
State CT
ZIP 6791-1619
Accounting period End 4
Primary contact name GIOVANNA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GIOVANNA ADAMS
PRESIDENT
18 ORCHARD HILL ROAD
HARWINTON CT 6791-1619

Officer/Director/Trustee Two

KATHYRN RACHUBA
SECRETARY
569 HIGH STREET
THOMASTON CT 6787-1210

Officer/Director/Trustee Three

JENNIFER WOJCIK
VICE PRESIDENT
33 SOUTH ROAD
HARWINTON CT 6791-1619

Officer/Director/Trustee Four

WESTON ADAMS
TREASURER
18 ORCHARD HILL ROAD
HARWINTON CT 6791-1619

Organization’s website HTTPS://WWW.HB4DIVERSITY.ORG
Organization’s email INFO@HB4DIVERSITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
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 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 GIOVANNA ADAMS
Signature Title PRESIDENT
Signature Date 7/15/19

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