FORM 1023-EZ for ELDERSHIP ACADEMY INC

Field Data
EIN 82-3798961
Case Number EO-2018221-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELDERSHIP ACADEMY INC
Organization’s Mailing Address 551 PAGE STREET
City SAN FRANCISCO
State CA
ZIP 94117-3410
Accounting period End 12
Primary contact name DR NADER SHABAHANGI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR NADER SHABAHANGI
PRESIDENT/DIRECTOR/OFFICER
551 PAGE STREET
SAN FRANCISCO CA 94117-3410

Officer/Director/Trustee Two

DR JULIA WOLFSON
TREASURER/DIRECTOR/OFFICER
551 PAGE STREET
SAN FRANCISCO CA 94117-3410

Officer/Director/Trustee Three

DR SALOME SCHWARZ
SECRETARY/DIRECTOR/OFFICER
551 PAGE STREET
SAN FRANCISCO CA 94117-3410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P02 - Management & Technical Assistance
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DR NADER SHABAHANGI
Signature Title PRESIDENT/DIRECTOR/OFFICER
Signature Date 8/7/18

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