FORM 1023-EZ for YASUNI-AMAZONA ORG

Field Data
EIN 47-4214179
Case Number EO-2015254-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YASUNI-AMAZONA ORG
Organization’s Mailing Address 4065 CARMEL BROOKS WAY
City SAN DIEGO
State CA
ZIP 92130
Accounting period End 12
Primary contact name JOE GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH GRIFFIN
CEO
4065 CARMEL BROOKS WAY
SAN DIEGO CA 92130

Officer/Director/Trustee Two

NICOLE GRIFFIN
SECRETARY
4065 CARMEL BROOKS WAY
SAN DIEGO CA 92130

Officer/Director/Trustee Three

KEITH LOCJH
CFO
9863 FOREST RIDGE DR
CLARKSTON MI 48348

Officer/Director/Trustee Four

EDWIN HEIL
COMMUNITY OUTREACH OFFICER
12619 JACKSON DR
EL CAJON CA 92021

Officer/Director/Trustee Five

CYNTHIA GUERRERO
BUSINESS DEVELOPMENT OFFICER
11231 MACAW CT
WINDERMERE FL 34786

Organization’s website WWW.YASUNI-AMAZONA.ORG
Organization’s email USA@YASIUNI-AMAZONA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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