FORM 1023-EZ for HAYNES HARBOUR INC

Field Data
EIN 38-4008020
Case Number EO-2016195-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYNES HARBOUR INC
Organization’s Mailing Address 3585 NE 207 ST C-9 741
City AVENTURA
State FL
ZIP 33180-0741
Accounting period End 12
Primary contact name SHANTELL HAYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTELL HAYNES
CEO
3585 NE 207 ST C-9 741
AVENTURA FL 33180-0741

Officer/Director/Trustee Two

DASIAQUAN HAYNES
PRESIDENT
4550 HERITAGE OAK DRIVE
ORLANDO FL 32808-0001

Officer/Director/Trustee Three

CUTURE XCLUSIVE LLC
CFO
3585 NE 207 ST C-9 741
AVENTURA FL 33180-0741

Officer/Director/Trustee Four

TORRIN PALMER JR
VICE PRESIDENT
3585 NE 207 ST C-9 741
AVENTURA FL 33180-0741

Officer/Director/Trustee Five

DENIS CRUZ LEON
COO
3585 NE 207 ST C-9 741
AVENTURA FL 33180-0741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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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