FORM 1023-EZ for COMMUNITIES FOR OLDER ADULT HEALTH

Field Data
EIN 81-0940847
Case Number EO-2016004-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITIES FOR OLDER ADULT HEALTH
Organization’s Mailing Address 3 RIDGE TERRACE
City ASHEVILLE
State NC
ZIP 28804-2757
Accounting period End 12
Primary contact name WILLIAM K OCONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM OCONNELL
PRESIDENT-CEO
3 RIDGE TERRACE
ASHEVILLE NC 28804-2757

Officer/Director/Trustee Two

MICHAEL DOWLING
DIRECTOR
108 SILVERROD LANE
ASHEVILLE NC 28803-8674

Officer/Director/Trustee Three

LAURIE FRAREY RN FNP-C
DIRECTOR
117 REED STREET
ASHEVILLE NC 28803-2714

Officer/Director/Trustee Four

CAROLE SPAINHOUR
DIRECTOR
120 HOMEWOOD DRIVE
SALUDA NC 28773-8886

Organization’s website
Organization’s email WKOCONNELL@EARTHLINK.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
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 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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