FORM 1023-EZ for ALBANY COMMUNITY CENTER SENIORS INC

Field Data
EIN 14-1997358
Case Number EO-2017081-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALBANY COMMUNITY CENTER SENIORS INC
Organization’s Mailing Address P O BOX 173
City ALBANY
State OH
ZIP 45710-0173
Accounting period End 3
Primary contact name BETTY WHITMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE MILLER
PRESIDENT
1594 MORTON AVENUE
ALBANY OH 45710

Officer/Director/Trustee Two

MARILYN ROSS
VP
4220 STATE ROUTE 681
ALBANY OH 45710

Officer/Director/Trustee Three

BETTY WHITMORE
TREASURER
6747 STATE ROUTE 56
ATHENS OH 45701-9021

Officer/Director/Trustee Four

PAT SWART
SECRETARY
P O BOX 311
ALBANY OH 45710

Officer/Director/Trustee Five

ROGER PRATT
TRUSTEE
3719 SPRING VALLEY DRIVE
ALBANY OH 45710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2006
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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