FORM 1023-EZ for THE SYNERGY FOUNDATION

Field Data
EIN 81-4426934
Case Number EO-2016322-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SYNERGY FOUNDATION
Organization’s Mailing Address 8380 WEST STATE RD 84
City DAVIE
State FL
ZIP 33324
Accounting period End 12
Primary contact name ERIKA VAVAL ROSENTHAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIKA VAVAL ROSENTHAL
PRESIDENT
320 COMMODORE DRIVE APT 1516
PLANTATION FL 33325

Officer/Director/Trustee Two

KARA VAVAL FERRIER
VICE PRESIDENT
320 COMMODORE DRIVE APT 1516
PLANTATION FL 33325

Officer/Director/Trustee Three

SERGE ROSENTHAL JR
OFFICER
320 COMMODORE DRIVE APT 1516
PLANTATION FL 33325

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
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 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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