FORM 1023-EZ for TOMMY T FOUNDATION INC

Field Data
EIN 84-2050470
Case Number EO-2021244-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOMMY T FOUNDATION INC
Organization’s Mailing Address 7950 NW 155 STREET SUITE 201
City MIAMI LAKES
State FL
ZIP 33016
Accounting period End 12
Primary contact name TERRI PENA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NELSON PENA
DIRECTOR
7950 NW 155 STREET SUITE 201
MIAMI LAKES FL 33016

Officer/Director/Trustee Two

TERESITA PENA
OFFICER
7950 NW 155 STREET SUITE 201
MIAMI LAKES FL 33016

Officer/Director/Trustee Three

MICHAEL MORENO
TRUSTEE
157 NW 93 AVENUE
PEMBROKE PINES FL 33024

Officer/Director/Trustee Four

IDELSYS BLANCO
TRUSTEE
690 NW 166 AVENUE
PEMBROKE PINES FL 33028

Officer/Director/Trustee Five

CARLOS BLANCO
TRUSTEE
690 NW 166 AVENUE
PEMBROKE PINES FL 33028

Organization’s website TOMMYTFOUNDATION.COM
Organization’s email TERRI@TOMMYTFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 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 No
Signature Name NELSON PENA
Signature Title DIRECTOR
Signature Date 8/30/2021

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