FORM 1023-EZ for LIFE OPTIONS PITTSBURGH INC

Field Data
EIN 46-3812652
Case Number EO-2016321-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE OPTIONS PITTSBURGH INC
Organization’s Mailing Address 457 ROSSLYN AVENUE
City SPRINGDALE
State PA
ZIP 15144
Accounting period End 12
Primary contact name MICHAEL OCILKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL OCILKA
PRESIDENT
457 ROSSLYN AVENUE 1ST FL
SPRINGDALE PA 15144

Officer/Director/Trustee Two

JIM SCHONS
VICE-PRESIDENT
5362 STEUBENVILLE PIKE
MCKEES ROCKS PA 15136

Officer/Director/Trustee Three

KARLA CASERTANO
TREASURER
152 GLENHURST DRIVE
VERONA PA 15147

Officer/Director/Trustee Four

MORGAN LESOSKI
SECRETARY
327 AUGUSTA STREET
PITTSBURGH PA 15211

Officer/Director/Trustee Five

PATRICIA HANSON
AT-LARGE BOARD MEMBER
212 BEVINGTON ROAD
PITTTSBURGH PA 15221

Organization’s website LIFEOPTIONSPITTSBURGH.COM
Organization’s email INFO@LIFEOPTIONSPITTSBURGH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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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