FORM 1023-EZ for LUCHA VIDA INC

Field Data
EIN 46-3823729
Case Number EO-2016315-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCHA VIDA INC
Organization’s Mailing Address 1020 GRAND CONCOURSE 17F
City BRONX
State NY
ZIP 10451
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CARRILLO
PRESIDENT
1020 GRAND CONCOURSE 17F
BRONX NY 10451

Officer/Director/Trustee Two

JOSHUA LEE
SECRETARY/TREASURER
2180 38TH STREET B8
ASTORIA NY 11105

Officer/Director/Trustee Three

THOMAS THEKKEKANDAM
DIRECTOR
33 WEST END AVE 19G
NEW YORK NY 10023

Organization’s website WWW.LUCHAVIDA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-3823729
Case Number EO-2015072-000665
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCHA VIDA INC
Organization’s Mailing Address 1020 GRAND CONCOURSE 17F
City BRONX
State NY
ZIP 10451
Accounting period End 12
Primary contact name GREG MCRAY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT CARRILLO
PRESIDENT
1020 GRAND CONCOURSE 17F
BRONX NY 10451

Officer/Director/Trustee Two

JOSHUA LEE
SECRETARY / TREASURER
2180 38TH STREET B8
ASTORIA NY 11105

Officer/Director/Trustee Three

THOMAS THEKKEKANDAM
DIRECTOR
33 WEST END AVENUE 19G
NEW YORK NY 10023

Organization’s website HTTP://WWW.LUCHAVIDA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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