FORM 1023-EZ for LIBRE TAXI

Field Data
EIN 82-5227619
Case Number EO-2018129-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBRE TAXI
Organization’s Mailing Address 1846 E INNOVATION PARK DR STE 100
City ORO VALLEY
State AZ
ZIP 85755
Accounting period End 12
Primary contact name ROMAN PUSHKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROMAN PUSHKIN
CHIEF EXECUTIVE OFFICER
849 W ORANGE AVE APT 3026
SOUTH SAN FRAN CA 94080

Organization’s website WWW.LIBRETAXI.ORG
Organization’s email ROMAN@LIBRETAXI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W40 - Public Transportation Systems, Services
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 ROMAN PUSHKIN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 4/29/18

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