FORM 1023-EZ for ASOCIACION COSTARRICENSE EN CAROLINA DEL NORTE

Field Data
EIN 83-4456246
Case Number EO-2019112-000637
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASOCIACION COSTARRICENSE EN CAROLINA DEL NORTE
Organization’s Mailing Address 3923 KING CHARLES RD
City DURHAM
State NC
ZIP 27707
Accounting period End 12
Primary contact name ROXANA GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANA GEORGE
EXECUTIVE DIRECTOR
3923 KING CHARLES RD
DURHMAN NC 27707

Officer/Director/Trustee Two

FRANCINE VINDAS
TREASURER
1223 GLENDON WAY
CARY NC 27519

Officer/Director/Trustee Three

VIVIANA HIDALGO MORA
SECRETARY
140 HILL AVENUE
SANDFORD NC 27330

Officer/Director/Trustee Four

MAUREN SANCHEZ
OFFICER
4642 MALONE COURT
RALEIGH NC 27616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROXANA GEORGE
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/19/19

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