FORM 1023-EZ for SUCCESS AT WORK

Field Data
EIN 47-2087022
Case Number EO-2016077-000052
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUCCESS AT WORK
Organization’s Mailing Address 547 E 15 ST
City HIALEAH
State FL
ZIP 33010
Accounting period End 12
Primary contact name MAYRA SANABRIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IVETTE PEREZ
OFFICER
16141 SW 42TH TERR
MIAMI FL 33185

Officer/Director/Trustee Two

MAYRA SANABRIA
DIRECTOR
547 E 15 ST
HIALEAH FL 33010

Officer/Director/Trustee Three

VIVIAN DE ARMAS
BOARD MEMBER
3321 SW 27TH TERR
MIAMI FL 33133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2014
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: Yes
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 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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