FORM 1023-EZ for STOP ELDERLY ABUSE PROGRAM-UP

Field Data
EIN 83-2094725
Case Number EO-2019081-000495
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STOP ELDERLY ABUSE PROGRAM-UP
Organization’s Mailing Address 856 WILLOW TREE CIRCLE
City CORDOVA
State TN
ZIP 38018-6376
Accounting period End 4
Primary contact name DR ROQUE ESTIPONA JR DPT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROQUE ESTIPONA
CEO/ADMINISTRATOR
856 WILLOW TREE CIRCLE
CORDOVA TN 38018-6376

Officer/Director/Trustee Two

CESAR VILLAREAL
CFO
856 WILLOW TREE CIRCLE
CORDOVA TN 38018-6376

Officer/Director/Trustee Three

PINAKY CHAKRAVARTY
COO
856 WILLOW TREE CIRCLE
CORDOVA TN 38018-6376

Organization’s website
Organization’s email MEMPHISSTEPUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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 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 ROQUE ESTIPONA
Signature Title CEO/ADMINISTRATOR
Signature Date 3/20/19

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