FORM 1023-EZ for MINORITY INTERVENTION NETWORK GOULDS OUTREACH
| Field | Data |
|---|---|
| EIN | 27-0902877 |
| Case Number | EO-2021130-000145 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MINORITY INTERVENTION NETWORK GOULDS OUTREACH |
| Organization’s Mailing Address | 11275 SW 218 ST |
| City | MIAMI |
| State | FL |
| ZIP | 33170 |
| Accounting period End | 12 |
| Primary contact name | CYNTHIA KILILIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CYNTHIA KILILIS
EXECUTIVE DIRECTOR
11275 SW 218 ST
MIAMI FL 33170-2912
Officer/Director/Trustee Two
TRAVIS BRYANT
DIRECTOR
22200 SW 117 AVE
MIAMI FL 33170-2912
Officer/Director/Trustee Three
RIQUE FRANKLIN
ASSISTANT DIRECTOR
4601 NW 183 ST
MIAMI GARDENS FL 33055-3047
Officer/Director/Trustee Four
TROY KILILIS
CHAIRMAN
17840 SW 112 CT
MIAMI FL 33157-4907
Officer/Director/Trustee Five
SYLVIA ADAMS
SECRETARY
2956 NW 48 ST
MIAMI FL 33142-3526
| Organization’s website | |
|---|---|
| Organization’s email | CKILILIS@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/7/2009 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - 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 | 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 | 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 | CYNTHIA KILILIS |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 5/6/2021 |
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