FORM 1023-EZ for SOURCE INTERNATIONAL FOUNDATION INC

Field Data
EIN 85-3043004
Case Number EO-2021099-000842
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOURCE INTERNATIONAL FOUNDATION INC
Organization’s Mailing Address 777 BRICKELL AVE SUITE 500
City MIAMI
State FL
ZIP 33131
Accounting period End 12
Primary contact name RICHARD BOLKO ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROZA TOROJ
PRESIDENT
777 BRICKELL AVE 500
MIAMI FL 33131

Officer/Director/Trustee Two

GRZEGORZ OKON
VP
777 BRICKELL AVE 500
MIAMI FL 33131

Officer/Director/Trustee Three

SARAH OKON
VP
777 BRICKELL AVE 500
MIAMI FL 33131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GRZEGORZ OKON
Signature Title VP
Signature Date 3/29/2021

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