FORM 1023-EZ for CHAVITA MARTINEZ MEMORIAL FOUNDATION

Field Data
EIN 86-2824261
Case Number EO-2021100-000628
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAVITA MARTINEZ MEMORIAL FOUNDATION
Organization’s Mailing Address 8416 CORD DR
City PASCO
State WA
ZIP 99301
Accounting period End 12
Primary contact name OSSIEL MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OSSIEL MARTINEZ
PRESIDENT
8416 CORD DR
PASCO WA 99301

Officer/Director/Trustee Two

SALVADOR MARTINEZ
CHIEF OPERATING OFFICER
305 VANCE LN SW
MATTAWA WA 99349

Officer/Director/Trustee Three

FRANCISCO MARTINEZ
CHIEF FINANCIAL OFFICER
610 BAILIE BLVD
MESA WA 99343

Officer/Director/Trustee Four

ESEQUEL MARTINEZ
CHAIRPERSON
632 ELM RD
PASCO WA 99301

Officer/Director/Trustee Five

AUDELIA MARAVILLA
CHAIRPERSON
1909 W CREEKSEDGE WAY
ELLENSBURG WA 98926

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 OSSIEL MARTINEZ
Signature Title PRESIDENT
Signature Date 3/26/2021

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