FORM 1023-EZ for ACTION UNITE PATRIOTE AUTHENTIQUE HAITIEN INC

Field Data
EIN 47-3328756
Case Number EO-2015086-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTION UNITE PATRIOTE AUTHENTIQUE HAITIEN INC
Organization’s Mailing Address PO BOX 585123
City ORLANDO
State FL
ZIP 32858
Accounting period End 6
Primary contact name JACQUES CAMILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUES CAMILLE
CHIEF EXECUTIVE OFFICER
6504 MERRIEWOOD DR
ORLANDO FL 32818

Officer/Director/Trustee Two

JEAN-LOUIS Camille
VICE CHIEF EXECUTIVE OFFICER
2052 E 41ST STREET
BROOKLYN NY 11234

Officer/Director/Trustee Three

RONALD FREDERIQUE
TREASURER
519 DELIDO WAY
KISSIMMEE FL 34758

Officer/Director/Trustee Four

MARIE MARLENE BERTRAND
VICE PRESIDENT
2775 W 62 PL APT 202
HILEAH FL 33016

Organization’s website
Organization’s email AUPAHCHARITIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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