FORM 1023-EZ for REVOLUTION 21 FOUNDATION

Field Data
EIN 46-0710968
Case Number EO-2016051-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVOLUTION 21 FOUNDATION
Organization’s Mailing Address 2655 LEJUNE ROAD SUIT 413E
City CORAL GABLES
State FL
ZIP 33134
Accounting period End 12
Primary contact name CARLSO ALBERTO FICCICHIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLOS ALBERTO FICCICHIA
PRESIDENT
2655 LEJUNE ROAD SUITE 413
CORAL GABLES FL 33134

Officer/Director/Trustee Two

RAMIRO JULIAN MARINI NEYERA
DIRECTOR
2655 LEJUNE ROAD SUITE 413
CORAL GABLES FL 33134

Officer/Director/Trustee Three

ADRIANA QUINTERO
DIRECTOR
111 STTER STREET 20TH FLOOR
SAN FRANCISCO CA 94104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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