FORM 1023-EZ for PSL HISPANIC AMERICAN CLUB INC

Field Data
EIN 81-1527690
Case Number EO-2016165-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PSL HISPANIC AMERICAN CLUB INC
Organization’s Mailing Address 2199 SE ABCOR ROAD
City PORT SAINT LUCIE
State FL
ZIP 34952
Accounting period End 12
Primary contact name JOSE M CASTRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSE M CASTRO
PRESIDENT
2199 SE ABCOR ROAD
PORT SAINT LUCIE FL 34952

Officer/Director/Trustee Two

LYDIA V RODRIGUEZ
V PRESIDENT
2602 SE CALUSA AVENUE
PORT SAINT LUCIE FL 34952

Officer/Director/Trustee Three

MARGIE RIVERA
SECRETARY
5440 NW MOORHEN TERR
PORT SAINT LUCIE FL 34986

Officer/Director/Trustee Four

NORMA I CASTRO
TREASURER
2199 SE ABCOR ROAD
PORT SAINT LUCIE FL 34952

Officer/Director/Trustee Five

CARMELO VILLEGAS
DIRECTOR
17 S ALHAMBRA LANE
PORT SAINT LUCIE FL 34952

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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
Signature Title
Signature Date

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