FORM 1023-EZ for CONCERNED ELDERS INC

Field Data
EIN 47-2381700
Case Number EO-2017279-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED ELDERS INC
Organization’s Mailing Address P O BOX 400717
City CAMBRIDGE
State MA
ZIP 02140-2114
Accounting period End 12
Primary contact name GATEWOOD WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GATEWOOD WEST
DIRECTOR
63 CREIGHTON ST
CAMBRIDGE MA 02140

Officer/Director/Trustee Two

JERRY COATS
DIRECTOR
108 ELLINGTON ST
DORCHESTER MA 02121

Officer/Director/Trustee Three

MICHAEL CAREY
TREASURER
3 FAYETTE PARK
CAMBRIDGE MA 02139

Officer/Director/Trustee Four

JONATHAN VOGEL-BORNE
DIRECTOR
7 PLEASANT ST
CAMBRIDGE MA 02139

Officer/Director/Trustee Five

CARL MCLAREN
DIRECTOR
8 SVEA ST
WORCESTER MA 01607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
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
EIN 47-2381700
Case Number EO-2014329-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED ELDERS INCORPORATED
Organization’s Mailing Address PO BOX 400717
City CAMBRIDGE
State MA
ZIP 02140
Accounting period End 12
Primary contact name GATEWOOD WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY BRITTO
PRESIDENT
PO BOX 400717
CAMBRIDGE MA 02140

Officer/Director/Trustee Two

HIEU DO
TREASURER
37 FOWLE STREET
WOBURN MA 01801

Officer/Director/Trustee Three

JONATHAN VOGEL-BORNE
DIRECTOR
7 PLEASANT PLACE
CAMBRIDGE MA 02139

Officer/Director/Trustee Four

MICHAEL CAREY
DIRECTOR
3 FAYETTE PARK
CAMBRIDGE MA 02139

Officer/Director/Trustee Five

GATEWOOD WEST
VICE PRESIDENT
63 CREIGHTON ST
CAMBRIDGE MA 02140

Organization’s website
Organization’s email GATEWEST@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - Multipurpose
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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