FORM 1023-EZ for SENIOR SUCCESS

Field Data
EIN 82-1691367
Case Number EO-2017152-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR SUCCESS
Organization’s Mailing Address 401 S WADDILL ST
City MCKINNEY
State TX
ZIP 75069
Accounting period End 12
Primary contact name DORIS CARRILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIS CARRILLO
PRESIDENT
401 S WADDILL ST
MCKINNEY TX 75069-4974

Officer/Director/Trustee Two

MARK GURLEY
TREASURER
401 S WADDILL ST
MCKINNEY TX 75069-4974

Officer/Director/Trustee Three

OMAR CARRILLO
SECRETARY
401 S WADDILL ST
MCKINNEY TX 75069-4974

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State TX
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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