FORM 1023-EZ for AMERICAN NATIONAL SENIORS ASSOCIATION INC

Field Data
EIN 81-3736858
Case Number EO-2016264-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN NATIONAL SENIORS ASSOCIATION INC
Organization’s Mailing Address 6004 CACTUS VALLEY ROAD
City CHARLOTTE
State NC
ZIP 28277
Accounting period End 12
Primary contact name STEPHEN MATTHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN MATTHEWS
EXECUTIVE DIRECTOR
6004 CACTUS VALLEY ROAD
CHARLOTTE NC 28277

Organization’s website WWW.SENIORSAVINGSCENTER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 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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