FORM 1023-EZ for CASA DOMINICANA INC

Field Data
EIN 10-0627703
Case Number EO-2018302-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASA DOMINICANA INC
Organization’s Mailing Address 134 MARSTON STREET APT 2
City LAWRENCE
State MA
ZIP 1841
Accounting period End 12
Primary contact name ANA MEDINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA MEDINA
PRESIDENT
134 MARSTON STREET APARTMENT 2
LAWRENCE MA 1841

Officer/Director/Trustee Two

NAZARIO ESQUEA
TREASURER
85 CROSS STREET
LAWRENCE MA 1841

Officer/Director/Trustee Three

JOSE AYALA
SECRETARY
102 SUNSET AVENUE
LAWRENCE MA 1841

Officer/Director/Trustee Four

BIENVENIDO ZAYAS
OFFICER
133 PHILIPS STREET
METHUEN MA 1844

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/06
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ANA MEDINA
Signature Title PRESIDENT
Signature Date 10/25/18

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