FORM 1023-EZ for AGELESS JAZZ BAND INC

Field Data
EIN 81-0956547
Case Number EO-2018052-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGELESS JAZZ BAND INC
Organization’s Mailing Address 202 TUDOR ROAD
City ITHACA
State NY
ZIP 14850
Accounting period End 12
Primary contact name DAVID WOHLHUETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBBERT VAN RENESSE
PRESIDENT
100 FRANKLIN STREET
ITHACA NY 14850

Officer/Director/Trustee Two

PETER FORLANO
VICE PRESIDENT
337 RICHARD PLACE
ITHACA NY 14850

Officer/Director/Trustee Three

CONNIE DEIGL
SECRETARY
337 RICHAD PLACE
ITHACA NY 14850

Officer/Director/Trustee Four

DAVID WOHLHUETER
TREASURER
202 TUDOR ROAD
ITHACA NY 14850

Officer/Director/Trustee Five

NICHOLAS PAULDINE
MUSIC DIRECTOR
456 HAYTS ROAD
ITHACA NY 14850

Organization’s website WWW.AGELESSJAZZ.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/09
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 DAVID WOHLHUETER
Signature Title TREASURER
Signature Date 2/19/18

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