FORM 1023-EZ for BOLIVAR FOUNDATION INC

Field Data
EIN 84-3271552
Case Number EO-2020160-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOLIVAR FOUNDATION INC
Organization’s Mailing Address 3105 NW 107 AVENUE SUITE 601
City DORAL
State FL
ZIP 33172
Accounting period End 12
Primary contact name ALFONZO BOLIVAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALFONZO BOLIVAR
PRESIDENT
3105 NW 107 AVENUE SUITE 601
DORAL FL 33172

Officer/Director/Trustee Two

CARLENA PRINCE
VICE PRESIDENT
10075 NW 86 TH TERRACE
DORAL FL 33178

Officer/Director/Trustee Three

DOUG MAYORG
SECRETARY
384 PALMETTO DR
MIAMI SPRINGS FL 33166

Organization’s website WWW.BOLIVARFOUNDATION.ORG
Organization’s email BOLIVAR@BOLIVARFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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 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 ALFONZO BOLIVAR
Signature Title PRESIDENT
Signature Date 6/6/2020

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