FORM 1023-EZ for HAITI NOUVO DEMEN

Field Data
EIN 83-4219554
Case Number EO-2019098-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITI NOUVO DEMEN
Organization’s Mailing Address 140 PALISADES CIRCLE
City STOUGHTON
State MA
ZIP 2072
Accounting period End 12
Primary contact name MAUREEN PIERRE-LOUIS ANTENOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAUREEN ANTENOR
PRESIDENT/EXECUTIVE DIRECTOR/CEO
140 PALISADES CIRCLE
STOUGHTON MA 2073

Officer/Director/Trustee Two

RICARDO ANTENOR
TREASURER
140 PALISADES CIRCLE
STOUGHTON MA 2072

Officer/Director/Trustee Three

MEI YAM
SECRETARY
4912 VALLEY CREST DRIVE APT 3052
MIDLOTHIAN VA 23112

Officer/Director/Trustee Four

GERMAINE PIERRE LOUIS GERMAIN
COMMUNITY OUTREACH SPECIALIST
371 MARKET ST
ROCKLAND MA 2370

Officer/Director/Trustee Five

MICHEL PIERRE-LOUIS
COMMUNITY OUTREACH SPECIALIST
371 MARKET ST
ROCKLAND MA 2370

Organization’s website N/A
Organization’s email MAUREENPLANTENOR@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 MAUREEN ANTENOR
Signature Title PRESIDENT/EXECUTIVE DIRECTOR/CEO
Signature Date 4/5/19

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