FORM 1023-EZ for ELDER SERVICES RESOURCE NETWORK INC

Field Data
EIN 65-0869294
Case Number EO-2017236-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELDER SERVICES RESOURCE NETWORK INC
Organization’s Mailing Address 7071 WEST COMMERCIAL BOULEVARD 2-B
City TAMARAC
State FL
ZIP 33319
Accounting period End 3
Primary contact name KNYVETT LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDY COHN
PRESIDENT
1440 CORAL RIDGE DRIVE 487
CORAL SPRINGS FL 33071

Officer/Director/Trustee Two

SHARI SCHUBAUER
SECRETARY
2900 NE 14 ST CSWY UNIT 103
POMPANO BEACH FL 33062

Officer/Director/Trustee Three

KNYVETT LEE
TREASURER
7071 W COMMERCIAL BOULEVARD
TAMARAC FL 33319

Officer/Director/Trustee Four

GREGORY ULLMAN
DIRECTOR
9070 KIMBERLY BOULEVARD 25
BOCA RATON FL 33434

Officer/Director/Trustee Five

MICHAEL BRODIE
DIRECTOR
1440 CORAL RIDGE DRIVE 487
CORAL SPRINGS FL 33071

Organization’s website WWW.ESRN.ORG
Organization’s email ESRNBROWARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/1991
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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
Signature Title
Signature Date

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