FORM 1023-EZ for HAITIAN EDUCATION ATHLETIC FOUNDATION INC

Field Data
EIN 46-0688287
Case Number EO-2016300-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITIAN EDUCATION ATHLETIC FOUNDATION INC
Organization’s Mailing Address 14610 SW 99 AVENUE
City MIAMI
State FL
ZIP 33176
Accounting period End 12
Primary contact name IPHTON LOUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IPHTON LOUIS
PRESIDENT
14610 SW 99 AVENUE
MIAMI FL 33176

Officer/Director/Trustee Two

JEAN-PAUL DURET
VICE PRESIDENT
1300 PONCE DE LEON SUITE 306
CORAL GABLES FL 33134

Officer/Director/Trustee Three

ANTOINE MULTIDOR
SECRETARY/TREASURER
2665 SW 37TH AVE SUITE 611
MIAMI FL 33133

Officer/Director/Trustee Four

CARL HENRY BARTHHOLD
DIRECTOR
6 2ND PLACE GARDEN CITY
NEW YORK NY 11530

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-0688287
Case Number EO-2014281-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITIAN ATHLETIC FOUNDATION INC
Organization’s Mailing Address 14610 SW 99 AVENUE
City MIAMI
State FL
ZIP 33176
Accounting period End 12
Primary contact name IPHTON LOUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IPHTON LOUIS
PRESIDENT
14610 SW 99 AVENUE
MIAMI FL 33176

Officer/Director/Trustee Two

JEAN-PAUL DURET
VICE PRESIDENT
1300 PONCE DE LEON SUITE 306
CORAL GABLES FL 33134

Officer/Director/Trustee Three

ANTOINE MULTIDOR
SECRETARY/TREASURER
2665 SW 37TH AVE SUITE 611
MIAMI FL 33133

Officer/Director/Trustee Four

CARL HENRY BARTHOLD
DIRECTOR
6 2ND PLACE GARDEN CITY
NEW YORK NY 11530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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