FORM 1023-EZ for US LATINX ART FORUM

Field Data
EIN 82-0698346
Case Number EO-2017096-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name US LATINX ART FORUM
Organization’s Mailing Address 134 BROOKS ST
City MEDFORD
State MA
ZIP 02155
Accounting period End 12
Primary contact name ADRIANA ZAVALA ZUM BROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANA ZAVALA ZUM BROOK
DIRECTOR
134 BROOKS ST
MEDFORD MA 02155

Officer/Director/Trustee Two

JOSHUA FRANCO
SECRETARY
4000 HAMILTON ST
HYATTSVILLE MD 20781

Officer/Director/Trustee Three

ROSE SALSEDA
ASSOCIATE DIRECTOR
13836 VALNA DRIVE
WHITTIER CA 90605

Officer/Director/Trustee Four

SONJA GANDERT
SOCIAL MEDIA MANAGER
324 WEST SENECA ST
ITHACA NY 14850

Officer/Director/Trustee Five

SAM ROMERO
CREATIVE DIRECTOR
714 W PARK ST
LAKELAND FL 33803

Organization’s website USLAF.ORG
Organization’s email INFO@USLAF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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