FORM 1023-EZ for CARMELAS HEART FOUNDATION INC

Field Data
EIN 85-2040678
Case Number EO-2021147-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARMELAS HEART FOUNDATION INC
Organization’s Mailing Address 16883 ROYAL POINCIANA DRIVE
City WESTON
State FL
ZIP 33326
Accounting period End 12
Primary contact name ERIC P GROS DUBOIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA GARZA
PRESIDENT AND DIRECTOR
16883 ROYAL POINCIANA DRIVE
WESTON FL 33326

Officer/Director/Trustee Two

KALED RICHANI
SECRETARY AND DIRECTOR
179 ALHAMBRA WAY
WESTON FL 33326

Officer/Director/Trustee Three

VICTORIA SUCCAR
TREASURER AND DIRECTOR
3785 NW 82 DR
COOPER CITY FL 33024

Officer/Director/Trustee Four

CARMEN GARZA
DIRECTOR
11551 SW 30TH STREET APT NO 108
MIRAMAR FL 33025

Organization’s website
Organization’s email CARMELASHEART@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
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 MARIA GARZA
Signature Title PRESIDENT AND DIRECTOR
Signature Date 5/25/2021

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