FORM 1023-EZ for HACIENDA DONA MARIA ELDERLY CARE

Field Data
EIN 66-0850012
Case Number EO-2016074-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HACIENDA DONA MARIA ELDERLY CARE
Organization’s Mailing Address PO BOX 195169
City SAN JUAN
State PR
ZIP 00919-5169
Accounting period End 12
Primary contact name CHRISTINE SOLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE SOLER
PRESIDENT
PO BOX 195169
SAN JUAN PR 00919-5169

Officer/Director/Trustee Two

ARMANDO SOLER
SECRETARY
PO BOX 100
VEGA BAJA PR 00695-0100

Officer/Director/Trustee Three

ELBA ORDUNA
VOCAL
405 ESMERALDA AVE SUITE 2- 271
GUAYNABO PR 00969

Organization’s website
Organization’s email SBDA.CEO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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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