FORM 1023-EZ for ARBOUR SQUARE RESIDENTS ASSOCIATION

Field Data
EIN 20-8379905
Case Number EO-2018019-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARBOUR SQUARE RESIDENTS ASSOCIATION
Organization’s Mailing Address 695 MAIN STREET APT 364
City HARLEYSVILLE
State PA
ZIP 19438
Accounting period End 12
Primary contact name DAVID COATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIDGE KELSALL
SECRETARY
695 MAIN STREET
HARLEYSVILLE PA 19438

Officer/Director/Trustee Two

DOROTHY HENDERSHOT
PRESIDENT
695 MAIN STREET
HARLEYSVILLE PA 19438

Officer/Director/Trustee Three

MARILYN SERIANNI
VICE PRESIDENT
695 MAIN STREET
HARLEYSVILLE PA 19438

Officer/Director/Trustee Four

DAVID COATES
TREASURER
695 MAIN STREET
HARLEYSVILLE PA 19438

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L22 - Senior Citizens' Housing/Retirement Communities
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 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 DAVID COATES
Signature Title TREASURER
Signature Date 1/17/18

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