FORM 1023-EZ for LONGEVITY INC
| Field | Data |
|---|---|
| EIN | 83-0926300 |
| Case Number | EO-2018174-000138 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LONGEVITY INC |
| Organization’s Mailing Address | 6220 HICKORY TRAIL |
| City | ATLANTA |
| State | GA |
| ZIP | 30349-8100 |
| Accounting period End | 12 |
| Primary contact name | MIRIAM JONES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MIRIAM JONES
FOUNDING DIRECTOR
6220 HICKORY TRAIL
ATLANTA GA 30349-8100
Officer/Director/Trustee Two
LYDIA DAVIS
BOARD CHAIR
1005 HOLLAND DRIVE
ALBANY GA 31705-8024
Officer/Director/Trustee Three
DERRICK JONZUN
TREASURER
2518 COLUMBIA HWY
DOTHAN AL 36303-5402
Officer/Director/Trustee Four
ANDREA HALL
SECRETARY
PO BOX 2381
DECATUR GA 30031-2381
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/25/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | MIRIAM JONES |
| Signature Title | FOUNDING DIRECTOR |
| Signature Date | 6/20/18 |
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