FORM 1023-EZ for LOS AMIGOS USA

Field Data
EIN 84-4273207
Case Number EO-2020248-000053
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOS AMIGOS USA
Organization’s Mailing Address 177 HADLEY AVE
City CLIFTON
State NJ
ZIP 07011
Accounting period End 12
Primary contact name JAIME VALDIVIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIME VALDIVIA
PRESIDENT
177 HADLEY AVE
CLIFTON NJ 07011

Officer/Director/Trustee Two

MARIAL DEL PILAR COLOMA
DIRECTOR
177 HADLEY AVE
CLIFTON NJ 07011

Officer/Director/Trustee Three

JAIME VALDIVIA JR
SECRETARY
177 HADLEY AVE
CLIFTON NJ 07011

Officer/Director/Trustee Four

STEPHANIE VALDIVIA
TREASURY
177 HADLEY AVE
CLIFTON NJ 07011

Organization’s website
Organization’s email JIMPIVAL@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 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 JAIME VALDIVIA
Signature Title PRESIDENT
Signature Date 9/2/2020

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