FORM 1023-EZ for CIVITAS PLUS INC

Field Data
EIN 66-0769838
Case Number EO-2020219-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIVITAS PLUS INC
Organization’s Mailing Address TORRIMAR TOLEDO 12-1
City GUAYNABO
State PR
ZIP 00966
Accounting period End 12
Primary contact name IVAN BAUZA HENRIQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IVAN BAUZA HENRIQUEZ
PRESIDENT
TORRIMAR TOLEDO 12-1
GUAYNABO PR 00966

Officer/Director/Trustee Two

IVAN BAUZA HENRIQUEZ
PRESIDENT
TORRIMAR TOLEDO 12-1
GUAYNABO PR 00966

Officer/Director/Trustee Three

DINAH KORTRIGHT
SECRETARY
SAN RODULFO 1816 SAN IGNACIO
RIO PIEDRAS PR 00927

Officer/Director/Trustee Four

TANUS SAAD
TREASURER
PO BOX 55176
BAYAMON PR 00960

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2012
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IVAN BAUZA HENRIQUEZ
Signature Title PRESIDENT
Signature Date 8/4/2020

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