FORM 1023-EZ for AGING WELL ASSOCIATION

Field Data
EIN 86-3254073
Case Number EO-2021106-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGING WELL ASSOCIATION
Organization’s Mailing Address 503 E 61ST STREET NUMBER 127
City CHICAGO
State IL
ZIP 60637-2406
Accounting period End 12
Primary contact name ROLONZA WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLONZA WEST
PRESIDENT AND DIRECTOR
700 E 61ST STREET NUMBER 378514
CHICAGO IL 60637-5345

Officer/Director/Trustee Two

ROWENA WEST
OFFICER
PO BOX 2155
SELMA AL 36702-2155

Officer/Director/Trustee Three

JOE VARNADO
OFFICER
731 E 60TH STREET
CHICAGO IL 60637-5533

Organization’s website
Organization’s email AGINGWELLASSOC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2021
Organization Incorporation State IL
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 Yes
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 ROLONZA WEST
Signature Title PRESIDENT AND DIRECTOR
Signature Date 4/14/2021

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