FORM 1023-EZ for BE COURAGE BURN FOUNDATION INC

Field Data
EIN 47-1767368
Case Number EO-2015110-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BE COURAGE BURN FOUNDATION INC
Organization’s Mailing Address PO BOX 651022
City MIAMI
State FL
ZIP 33265
Accounting period End 12
Primary contact name JOSEPH L CAMPO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATASHA LAVASTIDA
PRESIDENT AND CEO
7910 TAFT STREET UNIT 106
PEMBROKE PINES FL 33024

Officer/Director/Trustee Two

JOSEPH CAMPO
TREASURER AND CFO
PO BOX 651022
MIAMI FL 33265

Officer/Director/Trustee Three

LUIS LAVASTIDA
VICE PRESIDENT
7910 TAFT STREET UNIT 106
PEMBROKE PINES FL 33024

Officer/Director/Trustee Four

NAOMI VELEZ
DIRECTOR
2291 CHESTNUT CT
PEMBROKE PINES FL 33026

Officer/Director/Trustee Five

YVETTE HUMPHREY
DIRECTOR
2291 CHESTNUT CT
PEMBROKE PINES FL 33026

Organization’s website BECOURAGEBURNFOUNDATION.ORG
Organization’s email BECOURAGE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2014
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: 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 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 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
Signature Title
Signature Date

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