FORM 1023-EZ for OURSENIORS ORG INC

Field Data
EIN 82-0792478
Case Number EO-2017093-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OURSENIORS ORG INC
Organization’s Mailing Address PO BOX 730956
City ORMOND BEACH
State FL
ZIP 32173
Accounting period End 12
Primary contact name JULIAN G CANTILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIAN CANTILLO
EXECUTIVE DIRECTOR
69 APPALOOSA LANE
ORMOND BEACH FL 32174

Officer/Director/Trustee Two

ILEANA CANTILLO
DIRECTOR
69 APPALOOSA LANE
ORMOND BEACH FL 32174

Officer/Director/Trustee Three

ANDREW GRANT
DIRECTOR
145 CITY PLACE SUITE 301
PALM COAST FL 32164

Officer/Director/Trustee Four

SCOTT PEARSON
DIRECTOR
110 LAKESIDE DR E
PORT ORANGE FL 32128

Officer/Director/Trustee Five

WILLIAM KORACH
DIRECTOR
406 MISTY MORNING LN
ST AUGUSTINE FL 32080

Organization’s website WWW.OURSENIORS.ORG
Organization’s email JULIAN@OURSENIORS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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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