FORM 1023-EZ for ADOPT A FAMILY MIAMI INC

Field Data
EIN 85-2197668
Case Number EO-2020244-000604
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADOPT A FAMILY MIAMI INC
Organization’s Mailing Address 3420 GARDEN AVENUE
City MIAMI
State FL
ZIP 33140
Accounting period End 7
Primary contact name MYTYL SIMANCAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MYTYL SIMANCAS
DIRECTOR
3420 GARDEN AVENUE
MIAMI FL 33140

Officer/Director/Trustee Two

JESSICA KASSIN
DIRECTOR
1045 BAY DRIVE
MIAMI FL 33141

Officer/Director/Trustee Three

MABEL DE BEUNZA
DIRECTOR
1100 BRICKELL
MIAMI FL 33131

Officer/Director/Trustee Four

LESLIE COOPER
DIRECTOR
1701 BAY DRIVE
MIAMI FL 33141

Officer/Director/Trustee Five

ERIN MICHELLE NEWBERG
DIRECTOR
340 SE 3RD STREET
MIAMI FL 33131

Organization’s website @ADOPT.AFAMILYMIAMI
Organization’s email INFO@ADOPTAFAMILYMIAMI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 MYTYL SIMANCAS
Signature Title DIRECTOR
Signature Date 8/28/2020

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