FORM 1023-EZ for HOLMES COUNCIL ON AGING INC

Field Data
EIN 59-1311210
Case Number EO-2016243-000506
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLMES COUNCIL ON AGING INC
Organization’s Mailing Address 210 WEST KANSAS AVE
City BONIFAY
State FL
ZIP 32425-1915
Accounting period End 12
Primary contact name AMBER WING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY ADAMS
BOARD PRESIDENT
3276 1ST AVE NORTH
BONIFAY FL 32425-3575

Officer/Director/Trustee Two

HAROLD SMITH
BOARD VICE PRESIDENT
415 S WAUKESHA
BONIFAY FL 32425-2713

Officer/Director/Trustee Three

BOBBY SASNETT
BOARD MEMBER
2642 SASNETT LANE
WESTVILLE FL 32464-4203

Officer/Director/Trustee Four

SHIRLEY OWENS
BOARD SECRTARY
1672 HWY 173
GRACEVILLE FL 32440-7804

Officer/Director/Trustee Five

LAVONNE TARDIFF
BOARD MEMBER
2300 BROOKS DR
BONIFAY FL 32425-3408

Organization’s website
Organization’s email HCOA2345@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/1970
Organization Incorporation State FL
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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