FORM 1023-EZ for PURA VIDA BRIDGES

Field Data
EIN 81-3616548
Case Number EO-2016245-000416
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURA VIDA BRIDGES
Organization’s Mailing Address 419 OAK ST
City NORTHFIELD
State MN
ZIP 55057-2354
Accounting period End 12
Primary contact name JULIANNA CAMARENO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARVIN CAMARENO
PRESIDENT/CHAIR
419 OAK ST
NORTHFIELD MN 55057-2354

Officer/Director/Trustee Two

JULIANNA CAMARENO
VICE PRESIDENT/VICE CHAIR/TREASURER
419 OAK ST
NORTHFIELD MN 55075-2354

Officer/Director/Trustee Three

KATIE STIME
SECRETARY
2204 VALLEY DR
NORTHFIELD MN 55057

Officer/Director/Trustee Four

BONNIE PAPE
DIRECTOR
1478 BLUFF ST
DUNDAS MN 55019

Officer/Director/Trustee Five

RACHEL BATH
DIRECTOR
25739 FALK AVE
FARIBAULT MN 55021

Organization’s website WWW.PURAVIDABRIDGES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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