FORM 1023-EZ for THE FOUR20 FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-0769837 |
| Case Number | EO-2016152-000341 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE FOUR20 FOUNDATION |
| Organization’s Mailing Address | 5930 SW 9TH TERR |
| City | WEST MIAMI |
| State | FL |
| ZIP | 33144 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM MEDINA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
WILLIAM MEDINA
FOUNDER AND CHAIRMAN
5930 SW 9TH TER
WEST MIAMI FL 33144
Officer/Director/Trustee Two
CHRIS FLEITES
SECRETARY
7308 SW 80 ST PLAZA APT 299B
MIAMI FL 33143
Officer/Director/Trustee Three
YUSSI MEDINA
TREASURY
5930 SW 9TH TER
WEST MIAMI FL 33144
Officer/Director/Trustee Four
JUAN CARLOS NAJARRO
MEDICAL DIRECTOR
17 CUMBERLAND CT
SOMERSET NJ 08873
Officer/Director/Trustee Five
MONICA JONES
WEB MEDIA DIRECTOR
5805 LINCOLN APT 204
DETROIT FL 48208
| Organization’s website | FOUR20FOUNDATION.ORG |
|---|---|
| Organization’s email | FOUR20STRONG@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/24/2015 |
| Organization Incorporation State | FL |
| 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: Yes Religious: No Educational: Yes Scientific: Yes 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 | 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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