FORM 1023-EZ for SOUL OF THE PERUVIAN ANDES INC

Field Data
EIN 27-0817791
Case Number EO-2018087-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUL OF THE PERUVIAN ANDES INC
Organization’s Mailing Address 334-- 58TH STREET
City WOODSIDE
State NY
ZIP 11377-2217
Accounting period End 5
Primary contact name LUIS REBATTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRIEL GARCIA
PRESIDENT AND DIRECTOR
18 FERNWOOD LANE
ROSELYN NY 11576-1426

Officer/Director/Trustee Two

ALFONSO REBATTA
TREASURER
150-37 12TH ROAD
WHITESTONE NY 11357-1809

Officer/Director/Trustee Three

LUIS REBATTA
CHAIRMAN AND DIRECTOR
33-44 158TH STREET
WOODSIDE NY 11377-2217

Officer/Director/Trustee Four

PHILLIP DANIELE
DIRECTOR
387 HOLDRIDGE AVENUE
STATEN ISLAND NY 10312-6029

Officer/Director/Trustee Five

NIALL CONROY
DIRECTOR
75 SICKLE TOWN ROAD
ORANGEBERG NY 10962-1002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/09
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q19 - Nonmonetary Support N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LUIS REBATTA
Signature Title CHAIRMAN AND DIRECTOR
Signature Date 3/26/18

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