FORM 1023-EZ for LA VINA INC

Field Data
EIN 46-3414666
Case Number EO-2016277-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA VINA INC
Organization’s Mailing Address 4678 GABRIEL DR
City LAS VEGAS
State NV
ZIP 89121
Accounting period End 12
Primary contact name MARIANO SANTANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIANO SANTANA
PRESIDENT
4678 GABRIEL DR
LAS VEGAS NV 89121

Officer/Director/Trustee Two

JOHN EDWARD SUCHEWSKI
VICE PRESIDENT
5375 AWBURY AVE
LAS VEGAS NV 89110-3759

Officer/Director/Trustee Three

GERARDO G FONSECA
SECRETARY
4425 DESERT HOME
N LAS VEGAS NV 89085

Officer/Director/Trustee Four

ANGELINA SANTANA
TREASURER
5895 BALSAM PINE DR
LAS VEGAS NV 89142

Officer/Director/Trustee Five

DANIEL MANZANO
DIRECTOR
3295 N NELLIS BLVD
LAS VEGAS NV 89110

Organization’s website WWW.LAVINAVEGAS.ORG
Organization’s email LA_VINA@LAVINAVEGAS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2013
Organization Incorporation State NV
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 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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