FORM 1023-EZ for JEMEZ AGING IN PLACE
| Field | Data |
|---|---|
| EIN | 85-1191165 |
| Case Number | EO-2020154-000073 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JEMEZ AGING IN PLACE |
| Organization’s Mailing Address | PO BOX 20 |
| City | JEMEZ SPRINGS |
| State | NM |
| ZIP | 87025 |
| Accounting period End | 12 |
| Primary contact name | SUSANNA COOPER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SUSANNA COOPER
PRESIDENT
16371 HIGHWAY 4
JEMEZ SPRINGS NM 87025
Officer/Director/Trustee Two
JENNY MORGAN
VICE PRESIDENT
1085 VISTA HERMOSA
JEMEZ SPRINGS NM 87025
Officer/Director/Trustee Three
DIANA PLANA
TREASURER
91 RAPTOR ROAD
JEMEZ SPRINGS NM 87025
Officer/Director/Trustee Four
NANCY MEYER
SECRETARY
1200 HIGHWAY 485
JEMEZ PUEBLO NM 87024
Officer/Director/Trustee Five
KAREN MENCZER
MEMBER
POB 300
JEMEZ SPRINGS NM 87025
| Organization’s website | |
|---|---|
| Organization’s email | JEMEZAIP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/12/2020 |
| Organization Incorporation State | NM |
| 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KAREN MENCZER |
| Signature Title | MEMBER |
| Signature Date | 5/31/2020 |
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