FORM 1023-EZ for HUSTONTOWN AREA SENIOR CITIZENS

Field Data
EIN 47-3633543
Case Number EO-2015112-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUSTONTOWN AREA SENIOR CITIZENS
Organization’s Mailing Address 387 COLE RD
City HUSTONTOWN
State PA
ZIP 17229-9039
Accounting period End 10
Primary contact name JANAY SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLORIA BLACK
PRESIDENT
1780 DORAN RD
THREE SPRINGS PA 17264

Officer/Director/Trustee Two

LINDA SHAW
VICE PRESIDENT
PO BOX 575
HUSTONTOWN PA 17229

Officer/Director/Trustee Three

JOYCE TUCKER
SECRETARY
155 BACK HOLLOW RD
HARRISONVILLE PA 17228

Officer/Director/Trustee Four

SARAH SHAW
TREASURER
PO BOX 446
HUSTONTOWN PA 17229

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/1995
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: 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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