FORM 1023-EZ for DIVINE FAMILY HAITI INC

Field Data
EIN 83-3357060
Case Number EO-2019045-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE FAMILY HAITI INC
Organization’s Mailing Address 5680 WILCOX ROAD
City DUBLIN
State OH
ZIP 43016
Accounting period End 12
Primary contact name JULIE FOUCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHEDNER VAILLANT
PRESIDENT
5680 WILCOX ROAD
DUBLIN OH 43016

Officer/Director/Trustee Two

LAUREN VAILLANT
VICE PRESIDENT
5680 WILCOX ROAD
DUBLIN OH 43016

Officer/Director/Trustee Three

JULIE FOUCHE
TREASURER/SECRETARY
5680 WILCOX ROAD
DUBLIN OH 43016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JULIE FOUCHE
Signature Title TREASURER/SECRETARY
Signature Date 2/12/19

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