FORM 1023-EZ for ASSOCIATION OF VENEZUELANS IN JACKSONVILLE AVEJAX FL INC

Field Data
EIN 84-4219228
Case Number EO-2021158-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION OF VENEZUELANS IN JACKSONVILLE AVEJAX FL INC
Organization’s Mailing Address 1100 SEAGATE AVE STE 254
City NEPTUNE BEACH
State FL
ZIP 32266
Accounting period End 12
Primary contact name MARIA PEREZ-PIRELA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA PEREZ-PIRELA
PRESIDENT DIRECTOR
1100 SEAGATE AVE
NEPTUNE BEACH FL 32266

Officer/Director/Trustee Two

NAOMI GONZALEZ-JONES
TREASURER DIRECTOR
11061 PEPPERMILL LN
JACKSONVILLE FL 32257

Officer/Director/Trustee Three

JULY DIAZ
SECRETARY DIRECTOR
1219 ARDEN AVE
ORANGE PARK FL 32073

Officer/Director/Trustee Four

OLIVER MOSQUEDA
DIRECTOR
7301 GLENDYNE DR S
JACKSONVILLE FL 32216

Officer/Director/Trustee Five

MAVITA KELLERMAN
DIRECTOR
2750 BIARRITZ CT
PONTE VEDRA BEACH FL 32082

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MARIA PEREZ-PIRELA
Signature Title PRESIDENT DIRECTOR
Signature Date 6/4/2021

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