FORM 1023-EZ for AMERICAN ACCESS TO SPINE AND ORTHOPAEDIC CARE INC

Field Data
EIN 84-2574223
Case Number EO-2020149-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN ACCESS TO SPINE AND ORTHOPAEDIC CARE INC
Organization’s Mailing Address 3724 WINTER GARDEN RD BLDG 2
City WINTER GARDEN
State FL
ZIP 34787
Accounting period End 12
Primary contact name JAMES MANZANARES MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MANZANARES
PRESIDENT
3724 WINTER GARDEN RD BLDG 2
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

KATERYNA MANZANARES
VICE PRESIDENT
13414 SOUTHERN WAY
WINDERMERE FL 34786

Officer/Director/Trustee Three

RUTH BASKERVILLE
SECRETARY
PO BOX 784881
WINTER GARDEN FL 34787

Officer/Director/Trustee Four

JOSEPH PALERMO
SURGICAL HARDWARE TECHNICAL ADVISOR
1671 BAYSIDE STREET
MERRIT ISLAND FL 32825

Officer/Director/Trustee Five

ANA SAAVEDRA
AGENT
10115 ARMANDO CIRCLE
ORLANDO FL 32825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
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 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 JAMES MANZANARES
Signature Title PRESIDENT
Signature Date 5/26/2020

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