FORM 1023-EZ for ONE HAITIAN VOTE

Field Data
EIN 82-5519817
Case Number EO-2018162-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE HAITIAN VOTE
Organization’s Mailing Address 2901 W OAKLAND PARK BLVD
City OAKLAND PARK
State FL
ZIP 33311
Accounting period End 12
Primary contact name KARL HEINTZ PIERRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL JR HEINTZ PIERRE
C.E.O/ FOUNDER
2901 W OAKLAND PARK BLVD
OAKLAND PARK FL 33311

Officer/Director/Trustee Two

HUBERT FAUSTIN
SECRETARY
1556 E 4TH AVE
FORT LAUDERDALE FL 33304

Officer/Director/Trustee Three

DR GASTON J PIERRE
PRESIDENT
2901 W OAKLAND PARK BLVD
OAKLAND PARK FL 33311

Officer/Director/Trustee Four

DR FRANTZ DELVA
TREASURY
2901 W OAKLAND PARK BLVD
NORTH LAUDERDALE FL 33068

Officer/Director/Trustee Five

ANGELA VILFRANT
VICE TREASURY
8120 SW 22ND ST APT B211
NORTH LAUDERDALE FL 33068

Organization’s website WWW.ONEHAITIANVOTE.COM
Organization’s email ONEHAITIANVOTE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/18
Organization Incorporation State FL
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 Yes
Donation of funds Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HUBERT FAUSTIN
Signature Title SECRETARY
Signature Date 6/7/18

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