FORM 1023-EZ for ASOCIACION CIVICA NICARAGUENSE INC

Field Data
EIN 83-2168618
Case Number EO-2018305-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASOCIACION CIVICA NICARAGUENSE INC
Organization’s Mailing Address 915 BURNT CREST LANE
City SILVER SPRING
State MD
ZIP 20903
Accounting period End 12
Primary contact name HERBERT SALGUERA BALDIZON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERBERT SALGUERA BALDIZON
PRESIDENT
1 WATER ST APT 101
GAITHERSBURG MD 20877

Officer/Director/Trustee Two

RUTH ESPARZA
VICE-PRESIDENT
915 BURNT CREST LN
SILVER SPRING MD 20903

Officer/Director/Trustee Three

BERMANG BUSTOS BALDIZON
SECRETARY
1400 20TH ST NW APT G4
WASHINGTON DC 20036-5906

Officer/Director/Trustee Four

SONIA MASIS
TREASURER
2011 RANDOLPH RD APT 202
SILVER SPRING MD 20902

Officer/Director/Trustee Five

OSCAR FONSECA MONTALVAN
PUBLIC RELATIONS
6128 WILLSTON DR APT 201
FALLS CHURCH VA 22044-3007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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 Yes
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 HERBERT SALGUERA BALDIZON
Signature Title PRESIDENT
Signature Date 10/30/18

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