FORM 1023-EZ for CREATIVE AGING IN NYACK INC

Field Data
EIN 82-4423917
Case Number EO-2018334-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATIVE AGING IN NYACK INC
Organization’s Mailing Address PO BOX 94
City NYACK
State NY
ZIP 10960-94
Accounting period End 12
Primary contact name ANN MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN MORGAN
CHAIR AND CEO
121 HIGHMOUNT AVENUE
NYACK NY 10960-1508

Officer/Director/Trustee Two

SAMI ARONSON
SECRETARY
101 GEDNEY STREET APT 1C
NYACK NY 10960-2212

Officer/Director/Trustee Three

ROBERT GUNDERSEN
TREASURER
30 THIRD AVENUE
NYACK NY 10960-2112

Officer/Director/Trustee Four

SUSANNA WILLINGHAM
ASSOCIATE CHAIR
125 HIGHMOUNT AVENUE
NYACK NY 10960-1508

Officer/Director/Trustee Five

DEBORAH BELL
DIRECTOR
309 FRONT STREET
NYACK NY 10960-1405

Organization’s website
Organization’s email CREATIVEAGINGNYACK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 ANN MORGAN
Signature Title CHAIR AND CEO
Signature Date 11/28/18

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