FORM 1023-EZ for MILLBROOK SENIOR CITIZENS INC

Field Data
EIN 47-4553083
Case Number EO-2017305-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLBROOK SENIOR CITIZENS INC
Organization’s Mailing Address PO BOX 1073
City MILLBROOK
State NY
ZIP 12545
Accounting period End 6
Primary contact name DOROTHY A POWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY A POWERS
INC PRESIDENT
6 BARTEL PLACE /PO BOX 6
MILLBROOK NY 12545

Officer/Director/Trustee Two

WILLIAM PINE
INC VP
PO BOX 1722
PLEASANT VALLEY NY 12569

Officer/Director/Trustee Three

SAL CIOFFI
INC DIRECTORS
5 PHILMORE DRIVE
POUGHKEEPSIE NY 12603

Officer/Director/Trustee Four

BERNARD NASSR
INC TREASURER
P O BOX 83
MILLBROOK NY 12545

Officer/Director/Trustee Five

CONSTANCE FREER
INC SECRETARY
P O BOX 861
MILLBROOK NY 12545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2017
Organization Incorporation State NY
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 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
Signature Title
Signature Date

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