FORM 1023-EZ for PAVASANA FOUNDATION INC

Field Data
EIN 84-3730815
Case Number EO-2019333-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAVASANA FOUNDATION INC
Organization’s Mailing Address 11081 SW 58TH TER
City MIAMI
State FL
ZIP 33173-1105
Accounting period End 12
Primary contact name SHAI GOLDSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONIKA PAVA
PRESIDENT/DIRECTOR
11081 SW 58TH TER
MIAMI FL 33173-1105

Officer/Director/Trustee Two

MEAGAN BOUSCHER-MIRANDA
DIRECTOR
7021 SW 60TH ST
MIAMI FL 33143-1835

Officer/Director/Trustee Three

GENESIS YERA
DIRECTOR
561 NW 107TH AVE APT 108
MIAMI FL 33172-3877

Organization’s website HTTPS://PAVASANAFOUNDATION.ORG/
Organization’s email MEAGAN@HDSOFTWARE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 VERONIKA PAVA
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/26/19

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