FORM 1023-EZ for MONDBLUE SOCCER FOR ALL INC

Field Data
EIN 83-3103328
Case Number EO-2019126-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONDBLUE SOCCER FOR ALL INC
Organization’s Mailing Address 105 COMMERCE ST STE 117
City LAKE MARY
State FL
ZIP 32746
Accounting period End 12
Primary contact name EDWIN RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLADIS E BUTURI
DIRECTOR
105 COMMERCE ST STE 117
LAKE MARY FL 32746

Officer/Director/Trustee Two

FELIPE BATAGINI
DIRECTOR
319 GRANDVIEW AVE
OTTUMWA IA 52501

Officer/Director/Trustee Three

MARCELO R OLIVEIRA
DIRECTOR
775 ALTO PL
LAKE MARY FL 32746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 GLADIS E BUTURI
Signature Title DIRECTOR
Signature Date 5/2/19

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