FORM 1023-EZ for SENIOR SOURCE INC
| Field | Data |
|---|---|
| EIN | 84-3424522 |
| Case Number | EO-2019304-000221 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SENIOR SOURCE INC |
| Organization’s Mailing Address | 126 E OLYMPIA AVE SUITE 301 |
| City | PUNTA GORDA |
| State | FL |
| ZIP | 33950-3800 |
| Accounting period End | 12 |
| Primary contact name | KRISTOPHER M CHANA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KRISTOPHER CHANA
PRESIDENT
8494 IDLEWOOD COURT
LAKEWOOD RANCH FL 34202
Officer/Director/Trustee Two
AMIE CONTI
VICE PRESIDENT
25141 REMUS COURT
PUNTA FL 33983
Officer/Director/Trustee Three
ANDREA CIRABISI
SECRETARY
15 TEAKWOOD DRIVE
CLIFTON PARK NY 12065
Officer/Director/Trustee Four
AMBER SIMPSON
TREASURER
756 PHYLLIS STREET
PORT CHARLOTTE FL 33948
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/21/19 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| 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 | 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 | KRISTOPHER CHANA |
| Signature Title | PRESIDENT |
| Signature Date | 10/29/19 |
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