FORM 1023-EZ for MI VIDA MI VOZ CO

Field Data
EIN 84-4294929
Case Number EO-2020044-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MI VIDA MI VOZ CO
Organization’s Mailing Address 87 RAVINE COURT
City SHELBURNE
State VT
ZIP 05482-6429
Accounting period End 12
Primary contact name LENA ASHOOH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LENA ASHOOH
DIRECTOR
87 RAVINE COURT
SHELBURNE VT 05482-6429

Officer/Director/Trustee Two

KELLY DOLAN
BOARD MEMBER
10 WINOOSKI ST
WATERBURY VT 05676-1852

Officer/Director/Trustee Three

CECILIA LEWIS
BOARD MEMBER
87 RAVINE COURT
SHELBURNE VT 05482-6429

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2019
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 LENA ASHOOH
Signature Title DIRECTOR
Signature Date 2/11/2020

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