FORM 1023-EZ for LUSO AMERICAN CULTURAL ASSOCIATION

Field Data
EIN 83-4025508
Case Number EO-2019184-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUSO AMERICAN CULTURAL ASSOCIATION
Organization’s Mailing Address 385 WINDSOR STREET
City LUDLOW
State MA
ZIP 1056
Accounting period End 12
Primary contact name JOHN BETTENCOURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIO SALVADOR
PRESIDENT
12 LAVOIE AVENUE
LUDLOW MA 1056

Officer/Director/Trustee Two

JOE CHAVES
VICE PRESIDENT
2 ROSEWOOD AVENUE
LUDLOW MA 1056

Officer/Director/Trustee Three

JOHN BETTENCOURT
TREASURER
48 STEVENS STREET
LUDLOW MA 1056

Officer/Director/Trustee Four

DEREK SALEMA
SECRETARY
18 DEERFIELD AVENUE
WILBRAHAM MA 1095

Officer/Director/Trustee Five

FILIPA DA SILVA
ASST TREASURER
334 WOODLAND CIRCLE
LUDLOW MA 1056

Organization’s website
Organization’s email BETTENCOURT168@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JOHN BETTENCOURT
Signature Title TREASURER
Signature Date 7/1/19

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