FORM 1023-EZ for FLORESTAL FOUNDATION INC

Field Data
EIN 82-1463711
Case Number EO-2017198-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORESTAL FOUNDATION INC
Organization’s Mailing Address P O BOX 6372
City LAKE WORTH
State FL
ZIP 33466
Accounting period End 12
Primary contact name MACIUS FLORESTAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MACIUS FLORESTAL
PRESIDENT
3110 CONGRESS PARK DR APT 1134
LAKE WORTH FL 33461

Officer/Director/Trustee Two

LOUISANNE FLORESTAL JEAN
SECRETARY
3110 CONGRESS PARK DR APT 1134
LAKE WORTH FL 33461

Officer/Director/Trustee Three

RONEL FLORESTAL
VP
5583 JONQUIL CIR APT 208
NAPLES FL 34109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
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 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
Signature Title
Signature Date

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