FORM 1023-EZ for CPG SENIOR TAX ASSISTANCE INC

Field Data
EIN 47-4987634
Case Number EO-2015253-000427
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CPG SENIOR TAX ASSISTANCE INC
Organization’s Mailing Address 1301 E BOONVILLE NEW HARMONY RD
City EVANSVILLE
State IN
ZIP 47725-9293
Accounting period End 12
Primary contact name STEPHEN C GUBLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHIRLEY F GUBLER
PRES/DIRECTOR
1301 E BOONVILLE NEW HARMONY RD
EANSVILLE IN 47725-9293

Officer/Director/Trustee Two

JULIE A LEYSTRA
SECRETARY/DIRECTOR
11922 FENWICK LANE
EVANSVILLE IN 47725-9293

Officer/Director/Trustee Three

ALAN L ZILIAK
DIRECTOR
8202 S HIDDEN LAKE DRIVE
FT BRANCH IN 47648-8021

Officer/Director/Trustee Four

JOSEPH R PAYNE JR
DIRECTOR
8999 HICKORY LANE
NEWBURGH IN 47630

Officer/Director/Trustee Five

BETTY J GILLES
DIRECTOR
719 N LEMCKE
EVANSVILLE IN 47712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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