FORM 1023-EZ for ODESA

Field Data
EIN 47-1038452
Case Number EO-2018285-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ODESA
Organization’s Mailing Address 500 SOUTH CRESCENT DRIVE
City HOLLYWOOD
State FL
ZIP 33021
Accounting period End 12
Primary contact name CANTAVE CHARLOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANTAVE CHARLOT
PRESIDENT
500 SOUTH CRESCENT DRIVE STE 206
HOLLYWOOD FL 33021

Officer/Director/Trustee Two

ROMANE JOSEPH
VICE PRESIDENT
9415 NW 6TH AVE
MIAMI SHORES FL 33138

Officer/Director/Trustee Three

LIZABELT AVILA
SECRETARY
500 SOUTH CRESCENT DRIVE
HOLLYWOOD FL 33021

Officer/Director/Trustee Four

RAYMOND CHARLOT
TREASURER
10 MAPLE GLEN COURT
RANDOLPH MA 2368

Officer/Director/Trustee Five

RAYNALDO PEREZ DELA CRUZ
ASSISTANT TREASURER
7500 SW 8TH STREET STE 103 104
MIAMI FL 33144

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/14
Organization Incorporation State NJ
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CANTAVE CHARLOT
Signature Title PRESIDENT
Signature Date 10/10/18

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