FORM 1023-EZ for CREATIVE VIDA

Field Data
EIN 82-2859477
Case Number EO-2017268-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATIVE VIDA
Organization’s Mailing Address 6301 ALMEDA RD
City APT 442
State TX
ZIP 77021-1059
Accounting period End 12
Primary contact name JOSE ESTRADA AVALOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE ESTRADA AVALOS
BOARD MEMBER
6301 ALEMDA RD APT 442
HOUSTON TX 77021-1059

Officer/Director/Trustee Two

PRITESH PATEL
BOARD MEMBER
3401 N ALEXANDER DR
BAYTOWN TX 77520-3839

Officer/Director/Trustee Three

SAMEER ABDUL GHAFOOR
BOARD MEMBER
20426 GATES LANE
HUMBLE TX 77338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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