FORM 1023-EZ for ADULT SPECIALTY CARE CENTER INC

Field Data
EIN 85-0884882
Case Number EO-2020132-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADULT SPECIALTY CARE CENTER INC
Organization’s Mailing Address C/O 1006 NW 87 AVENUE APT 102
City MIAMI
State FL
ZIP 33172
Accounting period End 12
Primary contact name MARILU HERNANDEZ PINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILU HERNANDEZ PINO
PRESIDENT
C/O 1006 NW 87 AVE APT 102
MIAMI FL 33172

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARILU HERNANDEZ PINO
Signature Title PRESIDENT
Signature Date 5/7/2020

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