FORM 1023-EZ for SANTANA MOSS FOUNDATION INC

Field Data
EIN 82-0577147
Case Number EO-2021158-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANTANA MOSS FOUNDATION INC
Organization’s Mailing Address 8250 NW SOUTH RIVER DRIVE
City MEDLEY
State FL
ZIP 33166
Accounting period End 12
Primary contact name ANA STEFANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY STEFANO
PRESIDENT
7609 NW 69 AVE
MEDLEY FL 33166

Officer/Director/Trustee Two

ANA STEFANO
DIRECTOR
7609 NW 69 AVE
MEDLEY FL 33166

Officer/Director/Trustee Three

SANTANA MOSS
SECRETARY
8250 NW SOUTH RIVER DRIVE
MEDLEY FL 33166

Organization’s website
Organization’s email MOSSGIVES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2002
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANA STEFANO
Signature Title DIRECTOR
Signature Date 6/4/2021

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