FORM 1023-EZ for JOLT MEDIA & COMMUNITY INC

Field Data
EIN 85-1935610
Case Number EO-2020198-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOLT MEDIA & COMMUNITY INC
Organization’s Mailing Address 3454 NW 7 AVE
City MIAMI
State FL
ZIP 33127
Accounting period End 7
Primary contact name JUAN M CAIGNET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUAN CAIGNET
P
580 NE 71 ST
MIAMI FL 33138

Officer/Director/Trustee Two

PEDRO CAIGNET
VP
8155 E FAIRMOUNT DRIVE
DENVER CO 80230

Officer/Director/Trustee Three

PABLO CAIGNET
CEO
37 COURT ST APT 2E
BINGHAMTON NY 13901

Officer/Director/Trustee Four

ANA ATEHORTUA
D
11562 SW 109TH ROAD UNIT X
MIAMI FL 33176

Officer/Director/Trustee Five

KAPLAN OCBE
AMBR
1625 NW 8TH TERR
MIAMI FL 33125

Organization’s website WWW.JOLTRADIO.ORG
Organization’s email INFO@JOLTRADIO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUAN CAIGNET
Signature Title P
Signature Date 7/14/2020

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