FORM 1023-EZ for AGING IN PLACE INDIANA INCORPORATED

Field Data
EIN 84-5053552
Case Number EO-2020072-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGING IN PLACE INDIANA INCORPORATED
Organization’s Mailing Address 1816 W DEFENBAUGH SUITE A
City KOKOMO
State IN
ZIP 46901
Accounting period End 12
Primary contact name LARRY TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY TAYLOR
PRESIDENT
4205 W 50 S
KOKOMO IN 46901

Officer/Director/Trustee Two

KYLEIGH KEENAN
OFFICER
910 WITHERSPOON DR
KOKOMO IN 46901

Officer/Director/Trustee Three

PENNY HARPER
SECRETARY/TREASURER
4206 W 50 S
KOKOMO IN 46901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 LARRY TAYLOR
Signature Title PRESIDENT
Signature Date 3/10/2020

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