FORM 1023-EZ for GROWING OLDER TOGETHER INC

Field Data
EIN 81-3094978
Case Number EO-2016210-000707
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROWING OLDER TOGETHER INC
Organization’s Mailing Address 113 CEDAR COURT
City HAWLEY
State PA
ZIP 18428
Accounting period End 12
Primary contact name BARBARA LEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA NEHEMIAH
PRESIDENT/COO
113 CEDAR COURT
HAWLEY PA 18428

Officer/Director/Trustee Two

GEORGETTE PASCOTTO
TREASURER
110 FORDS RD
HONESDALE PA 18431

Officer/Director/Trustee Three

BARBARA LEO
SECRETARY
110 FORDS RD
HONESDALE PA 18431

Officer/Director/Trustee Four

VIRGINIA NORDSTROM
VICE PRESIDENT
128 SHERWOOD DR
WAYMART PA 18472

Officer/Director/Trustee Five

JANE LUCHSINGER
DIRECTOR
7805 STATE ROUTE 52
NARROWSBURG NY 12764

Organization’s website
Organization’s email GROWINGOLDERTOGETHER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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