FORM 1023-EZ for RAQUEL PELISSIER FOUNDATION INC

Field Data
EIN 83-2444772
Case Number EO-2019154-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAQUEL PELISSIER FOUNDATION INC
Organization’s Mailing Address 511 NW 21ST TERRACE
City FORT LAUDERDALE
State FL
ZIP 33311
Accounting period End 12
Primary contact name PIERRE SALIBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAQUEL PELISSIER
PRESIDENT
511 NW 21ST TERRACE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Two

MAGALIE PELISSIER
SECRETARY
511 NW 21ST TERRACE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Three

LORRAINE BOUCICAUT
TREASURER
511 NW 21ST TERRACE
FORT LAUDERDALE FL 33311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 RAQUEL PELISSIER
Signature Title PRESIDENT
Signature Date 5/30/19

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