FORM 1023-EZ for USA FRIENDS OF ASSOCIATION HAITIENNE DE TENNIS DE TABLE INC

Field Data
EIN 82-0771854
Case Number EO-2017080-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name USA FRIENDS OF ASSOCIATION HAITIENNE DE TENNIS DE TABLE INC
Organization’s Mailing Address 23 WYMAN ROAD
City LEXINGTON
State MA
ZIP 02420
Accounting period End 12
Primary contact name ALENE FRANKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIVKUMAR JHA
PRESIDENT
23 WYMAN ROAD
LEXINGTON MA 02420

Officer/Director/Trustee Two

ALENE FRANKLIN
TREASURER
154 RICHDALE AVENUE
CAMBRIDGE MA 02140

Officer/Director/Trustee Three

HOSEA HIRATA
VICE PRESIDENT
21 BENJAMIN ROAD
BELMONT MA 02478

Officer/Director/Trustee Four

KATE CANFIELD
SECRETARY
6 NEWELL STREET
CAMBRIDGE MA 02140

Officer/Director/Trustee Five

MOZART FRANCOIS
DIRECTOR
46 BURRAGE AVENUE
LEOMINSTER MA 01453

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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