FORM 1023-EZ for XAIRGEN RESEARCH INC

Field Data
EIN 84-2567418
Case Number EO-2019214-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XAIRGEN RESEARCH INC
Organization’s Mailing Address 9160 WEST BAY HARBOR DR A1
City BAY HARBOR ISLANDS
State FL
ZIP 33154
Accounting period End 12
Primary contact name PETER MARK EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER EVANS
OFFICER
9160 W BAY HARBOR DR A1
BAY HARBOR ISLANDS FL 33154

Officer/Director/Trustee Two

REINALDO ALONSO
OFFICER
6805 BROOKLINE DRIVE
MIAMI FL 33015

Officer/Director/Trustee Three

MATTHEW RUSSELL
DIRECTOR
9241 BIRMINGHAM DRIVE
PALM BEACH GARDENS FL 33410

Officer/Director/Trustee Four

RITA SHEIL
DIRECTOR
9101 EAST BAY HARBOR DRIVE
BAY HARBOR ISLANDS FL 33154

Officer/Director/Trustee Five

SINDY ALONSO
DIRECTOR
6805 BROOKLINE DRIVE
MIAMI FL 33015

Organization’s website HTTPS://ETHEREALAEROSPACE.COM/
Organization’s email INFO@XAIRGENRESEARCH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U40 - Engineering and Technology Research, Services
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PETER EVANS
Signature Title OFFICER
Signature Date 7/31/19

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