FORM 1023-EZ for AK HOPE & HEALTH FOUNDATION INC

Field Data
EIN 87-2054437
Case Number EO-2021245-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AK HOPE & HEALTH FOUNDATION INC
Organization’s Mailing Address 3991 SW CHERIBON STREET
City PORT SAINT LUCIE
State FL
ZIP 34953
Accounting period End 12
Primary contact name RONDA EDGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA GOMEZ-MAREK
PRESIDENT
3991 SW CHERIBON STREET
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Two

CAROLE KULIK
SECRETARY
1600 HOLLOWAY AVENUE BH363
SAN FRANCISCO CA 94132

Officer/Director/Trustee Three

ANTHONY DUSHKU
TREASURER
25 MAPLE STREET
DARIEN CT 06820

Officer/Director/Trustee Four

HANETTE GOMEZ
DIRECTOR
182-20 GRAND CENTRAL PARKWAY
JAMAICAN ESTATES NY 11432

Officer/Director/Trustee Five

RAMON RAMIREZ
DIRECTOR
7421 N UNIVERSITY DRIVE SUITE 212
TAMARAC FL 33321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 ANA GOMEZ-MAREK
Signature Title PRESIDENT
Signature Date 8/31/2021

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