FORM 1023-EZ for DIVERSE ANGELS INC

Field Data
EIN 81-2818610
Case Number EO-2017289-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIVERSE ANGELS INC
Organization’s Mailing Address 241 SW 84TH AVE APT 105
City PEMBROKE PINES
State FL
ZIP 33025
Accounting period End 1
Primary contact name EDWIN LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWIN LOPEZ
PRESIDENT
241 SW 84TH AVE APT 105
PEMBROKE PINES FL 33025

Officer/Director/Trustee Two

EVAN KERSHAW
TREASURER
8406 ALLFWORTH COURT
FORT NEAD ND 20755

Officer/Director/Trustee Three

KEIRON MILLINGTON
SECRETARY
1862 NW 185TH AVE
PEMBROKE PINES FL 33029

Organization’s website
Organization’s email SPEEDYI430@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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