FORM 1023-EZ for ESENCIA DE BORIKEN

Field Data
EIN 84-2407231
Case Number EO-2019203-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESENCIA DE BORIKEN
Organization’s Mailing Address 6586 HYPOLUXO ROAD BOX 227
City LAKE WORTH
State FL
ZIP 33467
Accounting period End 6
Primary contact name MARTA CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTA CRUZ
CO-PRESIDENT
7100 TAYLORWOOD DRIVE
LAKE WORTH FL 33467

Officer/Director/Trustee Two

OLGA BASHAIREH
CO-PRESIDENT
1115 GREEN PINE BLVD
WEST PALM BEACH FL 33409

Officer/Director/Trustee Three

JASMINE CUEVAS
SECRETARY
1115 GREEN PINE BLVD
WEST PALM BEACH FL 33409

Officer/Director/Trustee Four

NICOLE ESCALERA
TREASURER
207 TROPIC ISLE APT 205
DELRAY BEACH FL 33483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARTA CRUZ
Signature Title CO-PRESIDENT
Signature Date 7/19/19

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