FORM 1023-EZ for LATINX LIFE

Field Data
EIN 83-2596750
Case Number EO-2019029-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LATINX LIFE
Organization’s Mailing Address 1727 MCKNIGHT MILL RD
City GREENSBORO
State NC
ZIP 27405
Accounting period End 7
Primary contact name ESMERALDA MENDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ESMERALDA MENDEZ
TREASURER
2121 PEACOCK DRIVE
LEXINGTON NC 27292

Officer/Director/Trustee Two

NATHALIE MARSHALL-RODRIGUEZ
PRESIDENT
5820 NESSEE ST
FAYETTEVILLE NC 28314

Officer/Director/Trustee Three

JULIANA HICKS
VICE PRESIDENT
540 CORBIN ST
WINSTON SALEM NC 27107

Officer/Director/Trustee Four

PERLA HERNANDEZ
VICE PRESIDENT
8713 CINNABAY DR
CHARLOTTE NC 28216

Officer/Director/Trustee Five

JESSENIA MALDONADO
SECRETARY
1727 MCKNIGHT MILL RD
GREENSBORO NC 27405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R12 - Fund Raising and/or Fund Distribution
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 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 ESMERALDA MENDEZ
Signature Title TREASURER
Signature Date 12/17/18

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