FORM 1023-EZ for DIVINE SAVIOR FOUNDATION INC

Field Data
EIN 82-4636708
Case Number EO-2019084-000615
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE SAVIOR FOUNDATION INC
Organization’s Mailing Address 1348 WINDERMERE CT
City PALMDALE
State CA
ZIP 93551
Accounting period End 12
Primary contact name CIRO MEJIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CIRO MEJIA
DIRECTOR/PRESIDENT
1348 WINDERMERE CT
PALMDALE CA 93551

Officer/Director/Trustee Two

MANUEL MARQUEZ
DIRECTOR/TREASURER
7032 OAKDALE AVE
WINNETKA CA 91306

Officer/Director/Trustee Three

SCARLETT AVELAR
DIRECTOR/SECRETARY
1348 WINDERMERE CT
PALMDALE CA 93551

Organization’s website
Organization’s email DIVINOSALVADORFUNDACION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/18
Organization Incorporation State CA
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: 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 Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CIRO MEJIA
Signature Title DIRECTOR/PRESIDENT
Signature Date 3/22/19

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