FORM 1023-EZ for HOME2HAITI

Field Data
EIN 82-1834937
Case Number EO-2017233-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOME2HAITI
Organization’s Mailing Address 1316 SARATOGA AVE NE APARTMENT 3
City WASHINGTON
State MD
ZIP 20018
Accounting period End 7
Primary contact name ADRIYANNA ANDREUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIYANNA ANDREUS
OFFICER
7000 HIGHVIEW TERRACE APT 203
HYATTSVILLE MD 20782

Officer/Director/Trustee Two

SHAINA SALMAN
OFFICER
850 SW 133RD TERR KINGSLEY B105
PEMBROKE PINES FL 33027

Officer/Director/Trustee Three

REGINE ANABELLE PIERRE
OFFICER
2010 SEQUOIA TRAIL LANE
RICHMOND TX 77569

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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