FORM 1023-EZ for COUNCIL FOR HAITIAN AFFAIRS INC

Field Data
EIN 82-4189591
Case Number EO-2019280-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNCIL FOR HAITIAN AFFAIRS INC
Organization’s Mailing Address 9846 HAMMOCKS BLVD STE 107
City MIAMI
State FL
ZIP 33196
Accounting period End 12
Primary contact name EDDY ALTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDDY ALTINE
PRESIDENT
9846 HAMMOCKS BLVD STE 107
MIAMI FL 33196

Officer/Director/Trustee Two

PATRICK JABOUIN
VICE-PRESIDENT
7675 NW 20 COURT
SUNRISE FL 33322

Officer/Director/Trustee Three

DANIEL ARNOUX
TREASURER
8301 NW 57 PLACE
TAMARAC FL 33321

Officer/Director/Trustee Four

EDELINE BEAUVAIS MONDESTIN
SECRETARY
10365 SW 111 STREET
MIAMI FL 33176

Officer/Director/Trustee Five

MARIE B SANSARICQ
ASST SECRETARY
443 NE 195 STREET APT 434
MIAMI FL 33179

Organization’s website HTTPS://COUNCILHAF.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EDDY ALTINE
Signature Title PRESIDENT
Signature Date 10/3/19

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