FORM 1023-EZ for MALTA SENIOR CITIZENS INC

Field Data
EIN 13-4135760
Case Number EO-2019205-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MALTA SENIOR CITIZENS INC
Organization’s Mailing Address 1 BAYBERRY DR
City MALTA
State NY
ZIP 12020
Accounting period End 12
Primary contact name KATHLEEN EITZMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN EITZMANN
PRESIDENT
60 ROUND LAKE RD
BALLSTON LAKE NY 12019

Officer/Director/Trustee Two

BARBARA BRODERSON
TREASURER
48 EDMUND DR
BALLSTON SPA NY 12020

Officer/Director/Trustee Three

MARIE OSHER
SECRETARY
4175 SILVER BEACH RD
MALTA NY 12020

Officer/Director/Trustee Four

JOSEPH CHENAILLE
VICE PRESIDENT
4A SORREL CT
BALLSTON LAKE NY 12019

Officer/Director/Trustee Five

JOYCE SOLTIS
DIRECTOR
144 VAN AERNUM RD
MALTA NY 12020

Organization’s website WWW.MALTASENIORSNY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/94
Organization Incorporation State NY
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHLEEN EITZMANN
Signature Title PRESIDENT
Signature Date 7/22/19

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