FORM 1023-EZ for FUNDACION SANANDOME INC

Field Data
EIN 43-3830563
Case Number EO-2021035-000026
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUNDACION SANANDOME INC
Organization’s Mailing Address 38 EUTAW ST
City LAWRENCE
State MA
ZIP 01841
Accounting period End 12
Primary contact name CLARA MEDINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE TAVERA
PRESIDENT
38 EUTAW ST 3F
LAWRENCE MA 01841

Officer/Director/Trustee Two

ANA ROSARIO
VICE PRESIDENT
2302 ANDREWS AVE
BRONX NY 10468

Officer/Director/Trustee Three

CLARA MEDINA
TREASURE
381 MASON AVE
HALEDON NJ 07508

Officer/Director/Trustee Four

REYNALDO GUZMAN
VOCAL
381 MASON
HALEDON NJ 07508

Officer/Director/Trustee Five

ESTRELITZIA TAVERA
VOCAL
2302 ANDREWS AVE
BRONX NY 10468

Organization’s website WWW.SANANDOME.ORG
Organization’s email INFO@SANANDOME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2005
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CLARA MEDINA
Signature Title TREASURE
Signature Date 12/15/2020

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