FORM 1023-EZ for HAITIS EDEN

Field Data
EIN 47-2658195
Case Number EO-2021102-000981
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITIS EDEN
Organization’s Mailing Address PO BOX 484
City HAYDEN
State AL
ZIP 35079
Accounting period End 12
Primary contact name JOHNA LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACH HUTCHINS
PRESIDENT
1016 E 1ST STREET
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Two

JOELLEN HOTHEN
SECRETARY
2207 PIAZZA RIDGE
COVINGTON KY 41017

Officer/Director/Trustee Three

JOHNA LAWRENCE
TREASURER
140 TAVEL RD
WARRIOR AL 35180

Organization’s website WWW.HAITISEDEN.ORG
Organization’s email SEC.HAITISEDEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
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 JOHNA LAWRENCE
Signature Title TREASURER
Signature Date 4/5/2021

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