FORM 1023-EZ for MEDICAL MISSION PERU CORP

Field Data
EIN 83-1984953
Case Number EO-2018270-000510
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICAL MISSION PERU CORP
Organization’s Mailing Address 6330 MANOR LANE
City MIAMI
State FL
ZIP 33143
Accounting period End 12
Primary contact name CARLOS PASTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUIS RAEZ
PRESIDENT
11223 NW 71 TERR
DORAL FL 33178

Officer/Director/Trustee Two

CARLOS PASTOR
AT
13770 OLD CUTLER ROAD
MIAMI FL 33158

Officer/Director/Trustee Three

ISABELLA PASTOR
VP
13770 OLD CUTLER ROAD
MIAMI FL 33158

Officer/Director/Trustee Four

DAVID RAEZ
AS
11223 NW
DORAL FL 33178

Officer/Director/Trustee Five

GRAZIELLA PASTOR
S
13770 OLD CUTLER ROAD
MIAMI FL 33158

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R19 - Nonmonetary Support N.E.C.
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 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 CARLOS PASTOR
Signature Title AT
Signature Date 9/25/18

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