FORM 1023-EZ for SENIOR BENEFITS FOUNDATION

Field Data
EIN 81-3465847
Case Number EO-2016323-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR BENEFITS FOUNDATION
Organization’s Mailing Address 305 DONELSON PIKE STE B
City NASHVILLE
State TN
ZIP 37214-3524
Accounting period End 12
Primary contact name RANDOLPH J PUTALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDOLPH PUTALA
PRESIDENT
PO BOX 140290
NASHVILLE TN 37214-0290

Officer/Director/Trustee Two

VERONICA PUTALA
SECRETARY
PO BOX 140290
NASHVILLE TN 37214-0290

Officer/Director/Trustee Three

VICTOR PUTALA
TREASURER
PO BOX 140290
NASHVILLE TN 37214-0290

Organization’s website WWW.SENIORBENEFITSFOUNDATION.ORG
Organization’s email RANDALL@SENIORBENEFITSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
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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