FORM 1023-EZ for INICC FOUNDATION INC

Field Data
EIN 37-1986071
Case Number EO-2021078-000840
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INICC FOUNDATION INC
Organization’s Mailing Address 4770 BISCAYNE BLVD STE 1280
City MIAMI
State FL
ZIP 33137
Accounting period End 9
Primary contact name VICTOR D ROSENTHAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTOR ROSENTHAL
PRESIDENT, VP, SEC, TREASURER
4770 BISCAYNE BLVD STE 1280
MIAMI FL 33137

Officer/Director/Trustee Two

YANIL LOPEZ DE ROSENTHAL
DIRECTOR
4770 BISCAYNE BLVD STE 1280
MIAMI FL 33137

Officer/Director/Trustee Three

PATRICIO ECHEVERRIA
DIRECTOR
4770 BISCAYNE BLVD STE 1280
MIAMI FL 33137

Officer/Director/Trustee Four

RODOLFO BELGORODSKY
DIRECTOR
4770 BISCAYNE BLVD STE 1280
MIAMI FL 33137

Organization’s website WWW.INICC.ORG/AUTHORITIES/
Organization’s email VICTOR_ROSENTHAL@INICC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 Yes
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 VICTOR ROSENTHAL
Signature Title PRESIDENT, VP, SEC, TREASURER
Signature Date 1/21/2021

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