FORM 1023-EZ for BOLIVIANS WITHOUT DISABILITIES INC

Field Data
EIN 47-3203248
Case Number EO-2015075-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOLIVIANS WITHOUT DISABILITIES INC
Organization’s Mailing Address 1104 SEMINOLE DR
City INDIAN HARBOR BEACH
State FL
ZIP 32937
Accounting period End 12
Primary contact name MATTHEW PEPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW PEPE
PRESIDENT
1104 SEMINOLE DR
INDIAN HARBOR BEACH FL 32937

Officer/Director/Trustee Two

LUANA CONNOR
TREASURER
8832 CHESTNUT HILL LN
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Three

SUSAN PEPE
SECRETARY
6641 TYRIAN ST
LA JOLLA CA 92037

Organization’s website
Organization’s email MATTPEPE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 Yes
One Third Support Gifts No
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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