FORM 1023-EZ for CLUB HISPANO DE LAKELAND INC

Field Data
EIN 59-3042796
Case Number EO-2015205-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB HISPANO DE LAKELAND INC
Organization’s Mailing Address PO BOX 5593
City LAKELAND
State FL
ZIP 33807-5593
Accounting period End 12
Primary contact name JACQUELINE LYONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIVIANA PEDROSO
PRESIDENT
639 MIDFLORIDA DRIVE SUITE 1
LAKELAND FL 33813

Officer/Director/Trustee Two

JACQUELINE LYONS
VICE PRESIDENT
639 MIDFLORIDA DRIVE SUITE 1
LAKELAND FL 33813

Officer/Director/Trustee Three

LUISA KLABER
TREASURER
639 MIDFLORIDA DRIVE SUITE 1
LAKELAND FL 33813

Officer/Director/Trustee Four

LETICIA LUPERCIO
SECRETARY
639 MIDFLORIDA DRIVE SUITE 1
LAKELAND FL 33813

Officer/Director/Trustee Five

EDUARDO TAPIA
CHAIRMAN OF THE BOARD
639 MIDFLORIDA DRIVE SUITE 1
LAKELAND FL 33813

Organization’s website CLUBHISPANODELAKELAND.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/1990
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 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
Signature Title
Signature Date

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