FORM 1023-EZ for CENTRE HOSPITALIER DE FONTAINE FOUNDATION

Field Data
EIN 84-4726109
Case Number EO-2020069-000677
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRE HOSPITALIER DE FONTAINE FOUNDATION
Organization’s Mailing Address 247 CRYSTAL DOWNS WAY
City SUWANEE
State GA
ZIP 30024
Accounting period End 12
Primary contact name GHERIANE KAREEN ULYSSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GHERIANE ULYSSE
PRESIDENT
247 CRYSTAL DOWNS WAY
SUWANEE GA 30024

Officer/Director/Trustee Two

JOSE ULYSSE
EXECUTIVE DIRECTOR
247 CRYSTAL DOWNS WAY
SUWANEE GA 30024

Officer/Director/Trustee Three

CARINE ULYSSE
CO-EXECUTIVE DIRECTOR
247 CRYSTAL DOWNS WAY
SUWANEE GA 30024

Officer/Director/Trustee Four

PIERRE-ROMAIN REVEIL
TREASURER
11110 JOEL COURT
ORLANDO FL 32825

Officer/Director/Trustee Five

YVANNE JEAN-OBEI
SECRETARY
1383 MELROSE WOODS LANE
LAWRENCEVILLE GA 30045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 GHERIANE ULYSSE
Signature Title PRESIDENT
Signature Date 3/7/2020

Recently Saved Organizations

Click on the save icon from a search results or organization page.