FORM 1023-EZ for SANTE HAITI INC

Field Data
EIN 46-2850856
Case Number EO-2014363-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANTE HAITI INC
Organization’s Mailing Address 11300 CYPRESS AVE
City KANSAS CITY
State MO
ZIP 64137
Accounting period End 12
Primary contact name JONATHAN PHILIPPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONATHAN PHILIPPE
EXECUTIVE DIRECTOR
11300 CYPRESS AVE
KANSAS CITY MO 64137

Officer/Director/Trustee Two

MICHELLE KRUSE
DIRECTOR OF OPERATIONS AND PROGRAMS
16951 W 93RD PLACE APT 18203
LENEXA KS 66219-9752

Officer/Director/Trustee Three

JENNIFER SMITH
MEDICAL DIRECTOR
853 WILKINSON ST
SHREVEPORT LA 71104

Officer/Director/Trustee Four

ALEXIS HARMAN
ASSOCIATE MEDICAL DIRECTOR
8 PIERSON STREET
BLOOMFIELD NJ 07003

Officer/Director/Trustee Five

SATYAM NAYAK
DIRECTOR OF FUNDRAISING
557 ATLANTIC AVE APT 2 B
BROOKLYN NY 11217

Organization’s website WWW.SANTEHAITI.ORG
Organization’s email SANTEHAITI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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