FORM 1023-EZ for CARIBBEAN SOUTH AMERICAN HISPANIC COUNCIL

Field Data
EIN 46-3711867
Case Number EO-2017054-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARIBBEAN SOUTH AMERICAN HISPANIC COUNCIL
Organization’s Mailing Address 12 AMBROSE AVE
City BAY POINT
State CA
ZIP 94565
Accounting period End 9
Primary contact name SERGIO SINGH BHAIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SERGIO SINGH BHAIRO
DIRECTOR AND PRESIDENT/CEO
12 AMBROSE AVE
BAY POINT CA 94565

Officer/Director/Trustee Two

SHANTA RAMDEHOLL
DIRECTOR AND SECRETARY
12 AMBROSE AVE
BAY POINT CA 94565

Officer/Director/Trustee Three

TINA GONZALEZ
DIRECTOR AND TREASURER
12 AMBROSE AVE
BAY POINT CA 94565

Officer/Director/Trustee Four

YESENIA GUTIERREZ
DIRECTOR
12 AMBROSE AVE
BAY POINT CA 94565

Officer/Director/Trustee Five

JEWEL SINGH BHAIRO
DIRECTOR
12 AMBROSE AVE
BAY POINT CA 94565

Organization’s website
Organization’s email SERGIO@CSAHC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q20 - Promotion of International Understanding
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-3711867
Case Number EO-2014279-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARIBBEAN SOUTH AMERICAN HISPANIC COUNCIL
Organization’s Mailing Address 12 AMBROSE AVENUE
City BAY POINT
State CA
ZIP 94565-3106
Accounting period End 10
Primary contact name SERGIO SINGH-BHAIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SERGIO SINGH-BHAIRO
DIRECTOR AND PRESIDENT/CEO
4030 CAMINO ANDRES
BAY POINT CA 94565-3008

Officer/Director/Trustee Two

MILTON DREPAUL
DIRECTOR AND SECRETARY
4030 CAMINO ANDRES
BAY POINT CA 94565-3008

Officer/Director/Trustee Three

JEWEL SINGH-BHAIRO
DIRECTOR AND TREASURER/CFO
2922 NW 55 AVENUE
LAUDERHILL FL 33313-1431

Officer/Director/Trustee Four

VISHAL HARRIPERSAUD
VICE PRESIDENT
4030 CAMINO ANDRES
BAY POINT CA 94565-3008

Organization’s website CARIBBEANSOUTHAMERICANHISPANICCOUNCIL.COM
Organization’s email TEJMY4LIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q20 - Promotion of International Understanding
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 Yes
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 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
Signature Title
Signature Date

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