FORM 1023-EZ for GUARDIAN ELDERCARE

Field Data
EIN 25-1750446
Case Number EO-2015329-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GUARDIAN ELDERCARE
Organization’s Mailing Address 8796 ROUTE 219
City BROCKWAY
State PA
ZIP 15824
Accounting period End 12
Primary contact name COLLEEN ENGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDDY INZANA
PRESIDENT
1195 HEWITT STREET
BROCKWAY PA 15824

Officer/Director/Trustee Two

RAYMOND L CALHOUN
DIRECTOR
583 HORIZON DRIVE
BROCKWAY PA 15824

Officer/Director/Trustee Three

COLLEEN ENGLER
CHAIRMAN
1339 PISGAH ROAD
TROY PA 16947

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/1994
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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