FORM 1023-EZ for LEVE SOVAL FOUNDATION

Field Data
EIN 82-5168566
Case Number EO-2018109-000599
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEVE SOVAL FOUNDATION
Organization’s Mailing Address 1350 NE 138 STREET
City NORTH MIAMI
State FL
ZIP 33161
Accounting period End 12
Primary contact name PATRICK DESAMOURS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK DESAMOURS
PRESIDENT
3715 CHANCELSORS DR
UPPER MARLBORO MD 20772

Officer/Director/Trustee Two

GERARD MERCIER
SECRETARY
1914 ALTA VISTA CIRCLE
LAKELAND FL 33810

Officer/Director/Trustee Three

HANS SAINT VAL
FINANCIAL DIRECTOR
1350 NE 138 STREET
NORTH MIAMI FL 33161

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 Yes
Signature Name PATRICK DESAMOURS
Signature Title PRESIDENT
Signature Date 4/17/18

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