FORM 1023-EZ for SHE-HAITI

Field Data
EIN 83-3355142
Case Number EO-2019070-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHE-HAITI
Organization’s Mailing Address 46 SMITH MILL RD
City NEW FREEDOM
State PA
ZIP 17349
Accounting period End 12
Primary contact name SUSAN MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN MCDONALD
PRESIDENT
46 SMITH MILL RD
NEW FREEDOM PA 17349

Officer/Director/Trustee Two

STEPHEN MCDONALD
TREASURER
46 SMITH MILL RD
NEW FREEDOM PA 17349

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/19
Organization Incorporation State PA
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: 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 SUSAN MCDONALD
Signature Title PRESIDENT
Signature Date 3/8/19

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