FORM 1023-EZ for RIVERA FAMILY FOUNDATION INC

Field Data
EIN 81-1002626
Case Number EO-2016012-000772
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERA FAMILY FOUNDATION INC
Organization’s Mailing Address 20523 NW 47 AVENUE
City MIAMI GARDESN
State FL
ZIP 33055
Accounting period End 12
Primary contact name LUCY PALACIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HERIBERTO RIVERA
PRESIDENT
20523 NW 47 AVENUE
MIAMI GARDENS FL 33055

Officer/Director/Trustee Two

ELSIE RIVERA
VPRESIDENT
20523 NW 47 AVENUE
MIAMI GARDENS FL 33055

Officer/Director/Trustee Three

VANESSA LOPEZ
SECRETARY
20523 NW 47 AVENUE
MIAMI GARDENS FL 33055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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
Signature Title
Signature Date

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