FORM 1023-EZ for LONGEVITY SERVICES INC

Field Data
EIN 81-3721014
Case Number EO-2016343-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONGEVITY SERVICES INC
Organization’s Mailing Address 2542 QUARRY LAKE DRIVE 136
City BALTIMORE
State MD
ZIP 21209
Accounting period End 12
Primary contact name JANIE CAUTHORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANIE CAUTHORNE
PRESIDENT
17 BRANCHWOOD COURT
PIKESVILLE MD 21208

Officer/Director/Trustee Two

LEWIS CAUTHORNE
VICE PRESIDENT
17 BRANCHWOOD COURT
PIKESVILLE MD 21208

Officer/Director/Trustee Three

LYRIC CAUTHORNE
TREASURER
17 BRANCHWOOD COURT
PIKESVILLE MD 21208

Officer/Director/Trustee Four

SHARIE PIGFORD
SECRETARY
722 TINKER COURT
MIDDLE RIVER MD 21220

Officer/Director/Trustee Five

JANIE MORRIS
MARKETING
6713 HAVENOAK AVE
ROSEDALE MD 21237

Organization’s website
Organization’s email JANIE@LONGEVITYCAREMD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
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 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 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
Signature Title
Signature Date

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