| Field | Data |
|---|---|
| EIN | 82-0824425 |
| Case Number | EO-2017086-000425 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PRIMARY CARE HAITI |
| Organization’s Mailing Address | 111 SW 75TH TERRACE |
| City | PLANTATION |
| State | FL |
| ZIP | 33317 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER GOLDMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JENNIFER GOLDMAN
PRESIDENT
111 SW 75TH TERRACE
PLANTATION FL 33317
MARIE EVELYNE MOISE
VICE PRESIDENT
1050 WILSHIRE CIRCLE WEST
PEMBROKE PINES FL 33027
SIMON SERRAO
SECRETARY
201 SW 75TH TERRACE
PLANTATION FL 33317
JOANNE CANCELMO
TREASURER
8 MARTIN ROAD
BROOKFIELD MA 01506
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/9/2017 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E21 - Community Health Systems |
| 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 | |
| Signature Title | |
| Signature Date |
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