FORM 1023-EZ for TERRAVIV INC

Field Data
EIN 84-3988198
Case Number EO-2020036-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TERRAVIV INC
Organization’s Mailing Address 2317 HARRIS ST
City LAKELAND
State FL
ZIP 33801
Accounting period End 12
Primary contact name ESDRAS N SANTIAGO CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ESDRAS N SANTIAGO CRUZ
PRESIDENT/TREASURER
2317 HARRIS ST
LAKELAND FL 33801

Officer/Director/Trustee Two

AZIA K CONSTANCE
SECRETARY
3726 CLEVELAND HTS BLVD APT6
LAKELAND FL 33803

Officer/Director/Trustee Three

LOUIS G GARCIA AVILES
BOARD MEMBER
1955 WIND MEADOWS DR
BARTOW FL 33830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ESDRAS N SANTIAGO CRUZ
Signature Title PRESIDENT/TREASURER
Signature Date 2/3/2020

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