FORM 1023-EZ for THE CHAGAS DISEASE FOUNDATION LTD

Field Data
EIN 26-0772860
Case Number EO-2016266-000310
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHAGAS DISEASE FOUNDATION LTD
Organization’s Mailing Address 437 BEAR CUB WAY SUITE 1
City BOGART
State GA
ZIP 30622
Accounting period End 12
Primary contact name RICK L TARLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK TARLETON
PRESIDENT
437 BEAR CUB WAY
BOGART GA 30622

Officer/Director/Trustee Two

DAN COLLEY
MEMBER BOARD OF DIRECTORS
UNIV OF GEORGIA
ATHENS GA 30602

Officer/Director/Trustee Three

BORIS STRIEPEN
MEMBER BOARD OF DIRECTORS
UNIV OF GEORGIA
ATHENS GA 30602

Officer/Director/Trustee Four

RICARDO PREVE
MEMBER BOARD OF DIRECTORS
PREVE FILMS
BUENOS AIRES

Officer/Director/Trustee Five

RICARDO GURTLER
MEMBER BOARD OF DIRECTORS
UNIV OF BUNEOS AIRES
BUENOS AIRES

Organization’s website CHAGASFOUND.ORG
Organization’s email CHAGASFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2007
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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

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