FORM 1023-EZ for SENIORS WAY INC

Field Data
EIN 61-1995024
Case Number EO-2021207-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIORS WAY INC
Organization’s Mailing Address 1746 EAST SILVER STAR RD SUITE 606
City OCOEE
State FL
ZIP 34761
Accounting period End 12
Primary contact name NATACHA DESAMOURS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DULLAINE JOSEPH
PRESIDENT-CHAIRMAN
1746 EAST SILVER STAR RD SUITE 606
ORLANDO FL 34761

Officer/Director/Trustee Two

ANN JOSEPH
VICE PRESIDENT
1746 EAST SILVER STAR RD SUITE 606
OCOEE FL 34761

Officer/Director/Trustee Three

BERNISE SANTIAGO
SECRETARY
1746 EAST SILVER STAR RD SUITE 606
OCOEE FL 34761

Officer/Director/Trustee Four

CHRITLINE BOONE
TREASURER
1746 EAST SILVER STAR RD SUITE 606
OCOEE FL 34761

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 Yes
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 DULLAINE JOSEPH
Signature Title PRESIDENT-CHAIRMAN
Signature Date 7/24/2021

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