FORM 1023-EZ for AGING IN MONTCLAIR INC

Field Data
EIN 47-3892634
Case Number EO-2015194-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGING IN MONTCLAIR INC
Organization’s Mailing Address 137 LORRAINE AVENUE
City MOTNCLAIR
State NJ
ZIP 07043
Accounting period End 6
Primary contact name ANDREA PEYSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA PEYSER
PRESIDENT
80 HIGHLAND AVENUE
MONTCLAIR NJ 07042

Officer/Director/Trustee Two

CAROLYN LACK
SECRETARY
127 LORRAINE AVENUE
MONTCLAIR NJ 07043

Officer/Director/Trustee Three

ANN GOLDSTEIN
TREASURER
90 CLAREWILL AVENUE
MONTCLAIR NJ 07043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R25 - Seniors' Rights
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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