FORM 1023-EZ for POST BACCALAUREATE PREMEDICAL ADVOCATE ASSOCIATION CORPORATION

Field Data
EIN 47-3760742
Case Number EO-2015114-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POST BACCALAUREATE PREMEDICAL ADVOCATE ASSOCIATION CORPORATION
Organization’s Mailing Address 2700 CHEVAL STREET APT 105
City ORLANDO
State FL
ZIP 32828
Accounting period End 12
Primary contact name KANESHA RUIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KANESHA RUIZ
PRESIDENT/CEO
2700 CHEVAL STREET APT 105
ORLANDO FL 32828

Officer/Director/Trustee Two

SAMANTHA BASQUEZ HILL
VP
3301 NORTH ELM AVE APT 520
BROKEN ARROW OK 74012

Officer/Director/Trustee Three

TREVOR RUIZ
SECRETARY/TRESURER
2700 CHEVAL STREET APT 105
ORLANDO FL 32828

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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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