FORM 1023-EZ for MISKITU NATION FOUNDATION

Field Data
EIN 83-1212206
Case Number EO-2018232-000578
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISKITU NATION FOUNDATION
Organization’s Mailing Address 1250 WALKER AVENUE SUITE 01
City WALNUT CREEK
State CA
ZIP 94596
Accounting period End 12
Primary contact name JOSEPHENIE E ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPHENIE E ROBERTSON
PRESIDENT/DIRECTOR
1250 WALKER AVENUE SUITE 01
WALNUT CREEK CA 94596-4837

Officer/Director/Trustee Two

ERCELL VALCINA RIMA-FLEURIMA
TREASURER/DIRECTOR
1557 JACKSON STREET SUITE 301
OAKLAND CA 94612

Officer/Director/Trustee Three

LILIANA NAKAMURA
SECRETARY/DIRECTOR
1557 JACKSON STREET SUITE 301
OAKLAND CA 94612

Officer/Director/Trustee Four

MARILU SERRANO
BOARD MEMBER/DIRECTOR
1557 JACKSON STREET SUITE 301
OAKLAND CA 94612

Officer/Director/Trustee Five

CARLOS ROMERO
BOARD MEMBER/DIRECTOR
1557 JACKSON STREET SUITE 301
OAKLAND CA 94612

Organization’s website
Organization’s email MISKITU.NATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 JOSEPHENIE E ROBERTSON
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/18/18

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