FORM 1023-EZ for GUSTOS COFFEE FOUNDATION

Field Data
EIN 66-0914564
Case Number EO-2019288-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUSTOS COFFEE FOUNDATION
Organization’s Mailing Address 530 CALLE A SUITE 1
City SAN JUAN
State PR
ZIP 920
Accounting period End 12
Primary contact name DANIEL O TORRES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL TORRES
PRESIDENT
530 CALLE A
SAN JUAN PR 920

Officer/Director/Trustee Two

GRISEL LEON
SECRETARY
530 CALLE A
SAN JUAN PR 920

Organization’s website WWW.GUSTOSCOFFEECO.COM/FOUNDATION
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL TORRES
Signature Title PRESIDENT
Signature Date 10/11/19

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