FORM 1023-EZ for NUEVA VIDA NEW LIFE

Field Data
EIN 47-1407191
Case Number EO-2021140-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NUEVA VIDA NEW LIFE
Organization’s Mailing Address 1416 GHOLSON AVENUE
City WINSTON-SALEM
State NC
ZIP 27107
Accounting period End 12
Primary contact name DAVID VILLADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID VILLADA
PRESIDENT CEO
1416 GHOLSON AVE
WINSTON SALEM NC 27107

Officer/Director/Trustee Two

DANIEL MENDOZA
TRUSTEE
4042 SOUTH MAIN STREET
WINSTON-SALEM NC 27107

Officer/Director/Trustee Three

RONALD MILLER
TREASURER
1420 GHOLSON AVE
WINSTON-SALEM NC 27107

Officer/Director/Trustee Four

ADELA PATRICIO
SECRETARY
940 RHINE RD
GERMANTON NC 27109

Officer/Director/Trustee Five

NAKIDA MCDANIELS
CHAIRWOMAN
3050 BAINBRIDGE DR
WINSTON-SALEM NC 27105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 DAVID VILLADA
Signature Title PRESIDENT CEO
Signature Date 5/13/2021
EIN 47-1407191
Case Number EO-2018140-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NUEVA VIDA NEW LIFE
Organization’s Mailing Address 1411 GHOLSON AVENUE
City WINSTON SALEM
State NC
ZIP 27107
Accounting period End 7
Primary contact name DAVID VILLADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID VILLADA
FOUNDER DIRECTOR
1411 GHOLSON AVENUE
WINSTON SALEM NC 27107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/14
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID VILLADA
Signature Title OUNDERDIRECTOR
Signature Date 5/15/18

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