FORM 1023-EZ for USAL FRIENDS COMMUNITY ACTION

Field Data
EIN 82-1795683
Case Number EO-2017177-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name USAL FRIENDS COMMUNITY ACTION
Organization’s Mailing Address 118 WALTHAM STREET
City PAWTUCKET
State RI
ZIP 02860-5639
Accounting period End 12
Primary contact name NELSON EVORA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NELSON EVORA
PRESIDENT OF THE BOARD OF DIRECTORS
118 WALTHAM STREET
PAWTUCKET RI 02860-5639

Officer/Director/Trustee Two

TITO FERNANDES
VICE-PRESIDENT
48 PARK STREET
TAUNTON MA 02780-2417

Officer/Director/Trustee Three

BELITA RIBEIRO
VICE-PRESIDENT
23 KENNEDY ROAD
NEWPORT RI 02840-1193

Officer/Director/Trustee Four

MARIA PINTO
TREASURER
41 LYON STREET
PAWTUCKET RI 02860-3010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2017
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
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
Signature Title
Signature Date

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