FORM 1023-EZ for SAFRINA FOUNDATION INC

Field Data
EIN 82-5215951
Case Number EO-2018313-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFRINA FOUNDATION INC
Organization’s Mailing Address 21260 SUMMERTRACE CIR
City BOCA RATON
State FL
ZIP 33428
Accounting period End 12
Primary contact name CARLINE DOUZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLINE DOUZE
PRESIDENT
21260 SUMMERTRACE CIR
BOCA RATON FL 33428

Officer/Director/Trustee Two

MERELIE RAPHAEL
VICE PRESIDENT
11920 NE 16 AVE APT 207
NORTH MIAMI FL 33161

Officer/Director/Trustee Three

LOUIS JOSEPH
TREASURER
11920 NE 16 AVE APT 207
NORTH MIAMI FL 33161

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State FL
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: 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 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 CARLINE DOUZE
Signature Title PRESIDENT
Signature Date 11/7/18

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