FORM 1023-EZ for MARLYS MIRACLE FOUNDATION

Field Data
EIN 83-0877428
Case Number EO-2018169-000508
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARLYS MIRACLE FOUNDATION
Organization’s Mailing Address 25 SAMOSET AVE
City CENTRAL FALLS
State RI
ZIP 2863-1119
Accounting period End 6
Primary contact name MARIA PEREIRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA PEREIRA
PRESIDENT / TREASURER
25 SAMOSET AVE
CENTRAL FALLS RI 2863-1119

Officer/Director/Trustee Two

JHANE PEREIRA
VICE-PRESIDENT
25 SAMOSET AVE
CENTRAL FALLS RI 2863-1119

Officer/Director/Trustee Three

PAULA BARBOSA
SECRETARY
376 LONSDALE AVE
PAWTUCKET RI 2860

Officer/Director/Trustee Four

DOMINGOS FONTES
VOTING MEMBER
107 ROBINSON AVE
PAWTUCKET RI 2861

Officer/Director/Trustee Five

OLINDA DEPINA
VOTING MEMBER
33 TRIESTE STREET
PAWTUCKET RI 2860

Organization’s website N/A
Organization’s email MARLYSMIRACLE0618@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 MARIA PEREIRA
Signature Title PRESIDENT / TREASURER
Signature Date 6/13/18

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