FORM 1023-EZ for FOR A PHOENIX FOUNDATION CORPORATION

Field Data
EIN 83-4447073
Case Number EO-2019112-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOR A PHOENIX FOUNDATION CORPORATION
Organization’s Mailing Address 1620 WEST AIRPORT BLVD
City SANFORD
State FL
ZIP 32773
Accounting period End 12
Primary contact name MICHAEL JIMENEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CIARA MONTANEZ
DIRECTOR
186 INDUSTRIAL CENTER DRIVE
LAKE HELEN FL 32744

Officer/Director/Trustee Two

YARIEL ROSARIO
TRUSTEE
186 INDUSTRIAL CENTER DRIVE
LAKE HELEN FL 32744

Officer/Director/Trustee Three

KARIME TILLER
TREASURER
1626 WEST AIRPORT BLVD
SANFORD FL 32773

Officer/Director/Trustee Four

JEAN RIVERA
SECRETARY
186 INDUSTRIAL CENTER DRIVE
LAKE HELEN FL 32744

Officer/Director/Trustee Five

ERYK TORRES
OFFICER
186 INDUSTRIAL CENTER DRIVE
LAKE HELEN FL 32744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CIARA MONTANEZ
Signature Title DIRECTOR
Signature Date 4/17/19

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