FORM 1023-EZ for MENS CLUB AT ST BERNADETTE CORP

Field Data
EIN 83-1325628
Case Number EO-2018207-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENS CLUB AT ST BERNADETTE CORP
Organization’s Mailing Address 9000 SHERIDAN ST STE 108
City PEMBROKE PINES
State FL
ZIP 33024
Accounting period End 12
Primary contact name FABIAN MUNOZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FABIAN MUNOZ
TREASURER
5570 S UNIVERSITY DRIVE
DAVIE FL 33328

Officer/Director/Trustee Two

FELIPE HERNANDEZ
PRESIDENT
7740 NW 5TH ST
PEMBROKE PINES FL 33024

Officer/Director/Trustee Three

ENZO GROSSI
VICE PRESIDENT
1720 NW 88TH TERRACE
PEMBROKE PINES FL 33024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 FABIAN MUNOZ
Signature Title TREASURER
Signature Date 7/24/18

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