FORM 1023-EZ for ORPHANS OF HAITI FOUNDATION

Field Data
EIN 87-1719334
Case Number EO-2021201-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORPHANS OF HAITI FOUNDATION
Organization’s Mailing Address 970 RESERVE DR UNIT 205
City ROSEVILLE
State CA
ZIP 95678
Accounting period End 12
Primary contact name MARIE A SALOMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE SALOMON
DIRECTOR
417 SIESTA WAY
SONOMA CA 95476

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 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 MARIE SALOMON
Signature Title DIRECTOR
Signature Date 7/16/2021

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