FORM 1023-EZ for SENIOR SAVERS FOUNDATION

Field Data
EIN 84-4090255
Case Number EO-2021104-000839
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR SAVERS FOUNDATION
Organization’s Mailing Address 2461 ANTLERS WAY
City SAN MARCOS
State CA
ZIP 92078
Accounting period End 12
Primary contact name JAMI SHAPIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMI SHAPIRO
EXECUTIVE DIRECTOR
2461 ANTLERS WAY
SAN MARCOS CA 92078

Officer/Director/Trustee Two

BRYAN DEVORE
DIRECTOR
5973 AVENIDA ENCINAS STE 110
CARLSBAD CA 92008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2019
Organization Incorporation State CA
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 BRYAN DEVORE
Signature Title DIRECTOR
Signature Date 4/11/2021

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