FORM 1023-EZ for FUNDACION LA CAVERNA

Field Data
EIN 82-4072985
Case Number EO-2019080-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUNDACION LA CAVERNA
Organization’s Mailing Address 301 CAMBRIDGE RD APT 304
City HOLLYWOOD
State FL
ZIP 33024
Accounting period End 12
Primary contact name JOSE DIAZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE DIAZ
PRESIDENT
301 CAMBRIDGE RD APT 304
HOLLYWOOD FL 33024

Officer/Director/Trustee Two

FLOR DERIVERA
SEC.
2808 NORTH 46 AVE APT 639D
HOLLYWOOD FL 33021

Officer/Director/Trustee Three

MERCEDES DIAZ
TES
301 CAMBRIDGE RD APR 304
HOLLYWOOD FL 33024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 JOSE DIAZ
Signature Title PRESIDENT
Signature Date 3/19/19

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