FORM 1023-EZ for LATINAVIDA

Field Data
EIN 46-2999551
Case Number EO-2016111-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATINAVIDA
Organization’s Mailing Address 2454 CAMERON DRIVE
City UNION CITY
State CA
ZIP 94587
Accounting period End 12
Primary contact name MARIA HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIA HERNANDEZ
FOUNDER/EXECUTIVE DIRECTOR
2454 CAMERON DRIVE
UNION CITY CA 94587

Officer/Director/Trustee Two

MICHELLE MESSINA
TREASURER
336 FILBERT STREET
HALF MOON BAY CA 94019

Officer/Director/Trustee Three

DOLORES CORTES-MCPHERSON
SECRETARY
5286 MARIGOLD LAND
SANTA ROSA CA 95403

Organization’s website WWW.LATINAVIDA.ORG
Organization’s email INFO@LATINAVIDA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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