FORM 1023-EZ for HAITI SARANG MISSION

Field Data
EIN 83-1277216
Case Number EO-2018211-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITI SARANG MISSION
Organization’s Mailing Address 6201 WINWARD DR
City BURKE
State VA
ZIP 22015-3834
Accounting period End 12
Primary contact name SHANNON STAHLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YONG TAEK IM
DIRECTOR
13452 FIERY DAWN DR
CENTREVILLE VA 20120-3000

Officer/Director/Trustee Two

YOUNGSOON HUGHES
DIRECTOR
3338 FERN HOLLOW PL
OAK HILL VA 20171-3959

Officer/Director/Trustee Three

YONGOK JOHNSON
DIRECTOR
6201 WINDWARD DR
BURKE VA 22015-3834

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 YONG TAEK IM
Signature Title DIRECTOR
Signature Date 7/27/18

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