FORM 1023-EZ for COLEGIO MEDICO DOMINICANO FILIAL DELA FLORIDA INC

Field Data
EIN 55-0859456
Case Number EO-2019177-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLEGIO MEDICO DOMINICANO FILIAL DELA FLORIDA INC
Organization’s Mailing Address 18605 SW 124 AV
City MIAMI
State FL
ZIP 33177
Accounting period End 12
Primary contact name MARCELINO AMEZQUITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCELINO AMEZQUITA
PTSD
18605 SW 124 AV
MIAMI FL 33177

Officer/Director/Trustee Two

ROZLYN MARTINEZ
VD
18605 SW 124 AV
MIAMI FL 33177

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/04
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 MARCELINO AMEZQUITA
Signature Title PTSD
Signature Date 6/24/19

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