FORM 1023-EZ for FUNDACION ESTRELLITA DE BELEN

Field Data
EIN 85-2676200
Case Number EO-2020302-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUNDACION ESTRELLITA DE BELEN
Organization’s Mailing Address 8162 PRESLEY DRIVE
City JACKSONVILLE
State FL
ZIP 32216
Accounting period End 12
Primary contact name JOHN BLANTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BELEN C BLANTON
PRESIDENT
8162 PRESLEY DRIVE
JACKSONVILLE FL 32216

Officer/Director/Trustee Two

JOHN A BLANTON
VICE PRESIDENT
8162 PRESLEY DRIVE
JACKSONVILLE FL 32216

Officer/Director/Trustee Three

GLORIA C MATTHEWS
DIRECTOR
12813 COOL WATER WAY
JACKSONVILLE FL 32246

Officer/Director/Trustee Four

ANDRE G GRUBER
DIRECTOR
914 INWOOD TERRACE
JACKSONVILLE FL 32207

Organization’s website WWW.FUNDACIONESTRELLITADEBELEN.ORG
Organization’s email FUNDACIONESTRELLITADEBELEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN A BLANTON
Signature Title VICE PRESIDENT
Signature Date 10/26/2020

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