FORM 1023-EZ for FUNDAPAFI USA INC

Field Data
EIN 82-2611793
Case Number EO-2019259-000972
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUNDAPAFI USA INC
Organization’s Mailing Address 1400 NW 107TH AVE STE 430
City SWEETWATER
State FL
ZIP 33172
Accounting period End 12
Primary contact name ALEXANDRA LEDEZMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA LEDEZMA
PRESIDENT
400 ALTON RD UNIT 1207
MIAMI BEACH FL 33139

Officer/Director/Trustee Two

JOSE ORTEGA LARA
VICE PRESIDENT
400 ALTON RD
MIAMI BEACH FL 33139

Officer/Director/Trustee Three

ADELINA DIAZ
TREAURER
1431 CAPRI LN UNIT 5215
WESTON FL 33326

Officer/Director/Trustee Four

GENESIS CASTELLANOS
SECRETARY
1111 LINCLOLN RD STE 305
MIAMI BEACH FL 33139

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEXANDRA LEDEZMA
Signature Title PRESIDENT
Signature Date 9/13/19

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