FORM 1023-EZ for AB SENIOR LIVING VILLAGE INC

Field Data
EIN 66-0887568
Case Number EO-2017320-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AB SENIOR LIVING VILLAGE INC
Organization’s Mailing Address VILLA CARIBE 242 VIA CAMPINA
City CAGUAS
State PR
ZIP 00727-3098
Accounting period End 6
Primary contact name OMAR JIMENEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN CORALES
PRESIDENT
VILLA CARIBE 242 VIA CAMPINA
CAGUAS PR 00727-3098

Officer/Director/Trustee Two

MINERVA GOMEZ
VICE PRESIDENT
HC-6 BOX 71737
CAGUAS PR 00727

Officer/Director/Trustee Three

BRENDA RODRIGUEZ
VICE PRESIDENT
BONANZA 72 VILLA ESPERANZA
CAGUAS PR 00727

Officer/Director/Trustee Four

ANABEL NAVAS
VICE PRESIDENT
SANJUANERA 124 VIA MATINAL
CAGUAS PR 00727

Officer/Director/Trustee Five

OMAR JIMENEZ
SECRETARY AND TREASURER
VILLA CARIBE 242 VIA CAMPINA
CAGUAS PR 00727

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2017
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
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
Signature Title
Signature Date

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