FORM 1023-EZ for LAKAYSEHAITI INC

Field Data
EIN 82-0982500
Case Number EO-2017275-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKAYSEHAITI INC
Organization’s Mailing Address 1460 HEATH LN
City NORTH PORT
State FL
ZIP 34286
Accounting period End 12
Primary contact name LOSA NAZERE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSEMIE PHILIPPE
PRESIDENT, DIRECTOR
1460 HEATH LN
NORTH PORT FL 34286

Officer/Director/Trustee Two

CARLA ANDRE
VICE PRESIDENT, DIRECTOR
1460 HEATH LN
NORTH PORT FL 34286

Officer/Director/Trustee Three

JADA JONES-KEMP
SECRETARY, DIRECTOR
1811 NW 183RD ST
MIAMI GARDENS FL 33056

Officer/Director/Trustee Four

DEDRA ALLEN
TREASURER, DIRECTOR
2300 COUNTRY WALK APT 438
SNELLVILLE GA 30039

Officer/Director/Trustee Five

LOSA NAZERE
TREASURER, DIRECTOR
4238 ASH TREE ST
SNELLVILLE GA 30039

Organization’s website WWW.LAKAYSEHAITI.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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