FORM 1023-EZ for MISERICORDIA INC

Field Data
EIN 66-0890391
Case Number EO-2018024-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISERICORDIA INC
Organization’s Mailing Address PO BOX 2595
City ISABELA
State PR
ZIP 662
Accounting period End 12
Primary contact name HECTOR PRIETO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HECTOR PRIETO
DIRECTOR
1185 SAN ROBERTO HACIENDA GUADALUPE
QUEBRADILLAS PR 678

Officer/Director/Trustee Two

DEBORAH RUIZ
DIRECTOR
1185 SAN ROBERTO HACIENDA GUADALUPE
QUEBRADILLAS PR 678

Officer/Director/Trustee Three

PABLO BADILLO
DIRECTOR
PO BOX 2595
ISABELA PR 662

Officer/Director/Trustee Four

DANIEL VELEZ
DIRECTOR
38 CALLE ONIX URB LAMELA
ISABELA PR 662

Officer/Director/Trustee Five

JOSEAN FELICIANO
DIRECTOR
PO BOX 1148
ISABELA PR 662

Organization’s website
Organization’s email MISERICORDIAINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/18
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 HECTOR PRIETO
Signature Title DIRECTOR
Signature Date 1/22/18

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