FORM 1023-EZ for LIONFISH FOUNDATION INC

Field Data
EIN 82-2280488
Case Number EO-2017265-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONFISH FOUNDATION INC
Organization’s Mailing Address 144 E COLONIAL CT
City INDN HBR BCH
State FL
ZIP 32937
Accounting period End 12
Primary contact name FARAH CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IAN PETROSSIAN
EXECUTIVE DIRECTOR/PRESIDENT
144 EAST COLONIAL COURT
INDIAN HARBOUR BEACH FL 32937

Officer/Director/Trustee Two

VANESSA PAHUCKI
DIRECTOR/VICE PRESIDENT
144 EAST COLONIAL COURT
INDIAN HARBOUR BEACH FL 32937

Officer/Director/Trustee Three

MEJIAS GEORGE
DIRECTOR/SECRETARY
144 EAST COLONIAL COURT
INDIAN HARBOUR BEACH FL 32937

Officer/Director/Trustee Four

WEINTRAUB MICHAEL
DIRECTOR
144 EAST COLONIAL COURT
INDIAN HARBOUR BEACH FL 32937

Officer/Director/Trustee Five

FARAH CRUZ
DIRECTOR
20 S ROSE AVE SUITE 4
KISSIMMEE FL 34744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D33 - Fisheries Resources
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 Yes
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 Yes
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
Signature Title
Signature Date

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