FORM 1023-EZ for NORTHWEST HAITI DEAF MINISTRIES INC

Field Data
EIN 82-0910250
Case Number EO-2017095-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST HAITI DEAF MINISTRIES INC
Organization’s Mailing Address 999 CHARWOOD DRIVE
City LEXINGTON
State KY
ZIP 40515-5018
Accounting period End 12
Primary contact name MICHAEL HAAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HAAKE
PRESIDENT
999 CHARWOOD DRIVE
LEXINGTON KY 40515-5018

Officer/Director/Trustee Two

MADISON KOLLER
VICE PRESIDENT AND SECRETARY
999 CHARWOOD DRIVE
LEXINGTON KY 40515-5018

Officer/Director/Trustee Three

TAMMIE SHOWALTER
TREASURER
999 CHARWOOD DR
LEXINGTON KY 40515-5018

Organization’s website N/A
Organization’s email HAAKE1@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P87 - Deaf/Hearing Impaired Centers, 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 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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