FORM 1023-EZ for LATINO CIVIC ALLIANCE

Field Data
EIN 80-0635220
Case Number EO-2016328-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATINO CIVIC ALLIANCE
Organization’s Mailing Address 803 S 30TH AVE
City YAKIMA
State WA
ZIP 98902
Accounting period End 12
Primary contact name EMILY KRISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA MARTINEZ
PRESIDENT
7742 14TH AVE NE
SEATTLE WA 98115

Officer/Director/Trustee Two

SANDRA RODARTE
SECRETARY
210 37TH ST SE APT 38
AUBURN WA 98002

Officer/Director/Trustee Three

MATEO ARTEAGA
TREASURER
803 S 30TH AVE
YAKIMA WA 98902

Officer/Director/Trustee Four

CLAUDIA DALLEGRI
VICE CHAIR
1040 S HENDERSON ST
SEATTLE WA 98115

Officer/Director/Trustee Five

JIMMY MATTA
DIRECTOR
501 SW 136TH ST
BURIEN WA 98166

Organization’s website WWW.LATINOCIVICALLIANCE.COM
Organization’s email INFO@LATINOCIVICALLIANCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2010
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R22 - Minority Rights
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 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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