FORM 1023-EZ for THE HBACF FOUNDATION INC

Field Data
EIN 47-2542655
Case Number EO-2018043-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HBACF FOUNDATION INC
Organization’s Mailing Address 2180 W STATE ROAD 434 SUITE 2100
City LONGWOOD
State FL
ZIP 32779-5009
Accounting period End 12
Primary contact name KEVIN K ROSS-ANDINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIEGO PUIG
PRESIDENT
2180 W STATE ROAD 434 SUITE 2100
LONGWOOD FL 32779-5009

Officer/Director/Trustee Two

KARLA E VALLADARES
SECRETARY - DIRECTOR
2180 W STATE ROAD 434 SUITE 2100
LONGWOOD FL 32779-5009

Officer/Director/Trustee Three

KEVIN K ROSS-ANDINO
TREASURER - DIRECTOR
2180 W STATE ROAD 434 SUITE 2100
LONGWOOD FL 32779-5009

Officer/Director/Trustee Four

ANI P RODRIGUEZ-NEWBERN
DIRECTOR
2180 W STATE ROAD 434 SUITE 2100
LONGWOOD FL 32779-5009

Officer/Director/Trustee Five

CHRISTINA C ALVAREZ
DIRECTOR
2180 W STATE ROAD 434 SUITE 2100
LONGWOOD FL 32779-5009

Organization’s website
Organization’s email KEVIN.ROSS@ECLATLAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/14
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 KARLA E VALLADARES
Signature Title SECRETARY - DIRECTOR
Signature Date 2/8/18
EIN 47-2542655
Case Number EO-2014351-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HBACF FOUNDATION INC
Organization’s Mailing Address 545 DELANEY AVENUE BUILDING 1
City ORLANDO
State FL
ZIP 32801-3866
Accounting period End 12
Primary contact name TIFFANY FADDIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFFANY FADDIS
PRESIDENT
545 DELANEY AVENUE BUILDING 1
ORLANDO FL 32801-3866

Officer/Director/Trustee Two

LUIS GONZALES
VICE PRESIDENT
545 DELANEY AVENUE BUILDING 1
ORLANDO FL 32801-3866

Officer/Director/Trustee Three

IRENE MEYERS
SECRETARY
545 DELANEY AVENUE BUILDING 1
ORLANDO FL 32801-3866

Officer/Director/Trustee Four

SILVIA IBANEZ
TREASURER
545 DELANEY AVENUE BUILDING 1
ORLANDO FL 32801-3866

Organization’s website HTTP://HBACF.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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