FORM 1023-EZ for HAITIAN AMERICAN YOUTH REACHING OUTINC

Field Data
EIN 46-5747994
Case Number EO-2018086-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITIAN AMERICAN YOUTH REACHING OUTINC
Organization’s Mailing Address 2997 COBB PKWY SUITE 300 723672
City ATLANTA
State GA
ZIP 31139-2626
Accounting period End 5
Primary contact name ROMANE VERNET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROMANE VERNET
CHAIRMAN OF BOARD
7557 COLE LA
ATLANTA GA 30349

Officer/Director/Trustee Two

INDI-ARA RICHARD
CHIEF EXECUTIVE OFFICER
6736 BILL CARRUTH PKWY
HIRAM GA 30127

Officer/Director/Trustee Three

SAMUEL BUISSERETH
CHIEF OPERATING OFFICER
453 ARBOR CHASE
MCDONOUGH GA 30253

Organization’s website WWW.HYROWORLDWIDE.ORG
Organization’s email INFO@HYROWORLDWIDE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/14
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O19 - Nonmonetary Support N.E.C.
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 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 ROMANE VERNET
Signature Title CHAIRMAN OF BOARD
Signature Date 3/25/18
EIN 46-5747994
Case Number EO-2014234-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITIAN AMERICAN YOUTH REACHING OUTINC
Organization’s Mailing Address 2911 PIEDMONT RD NE
City ATLANTA
State GA
ZIP 30305
Accounting period End 12
Primary contact name ROMANE VERNET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROMANE VERNET
PRESIDENT
7557 COLE LANE
ATLANTA GA 30349

Officer/Director/Trustee Two

INDI ARA RICHARD
VICE PRESIDENT
5917 SHERRIE LANE
POWDER SPRINGS GA 30127

Officer/Director/Trustee Three

GARDEL BUISSERETH
ADMINISTRATOR
2232 CARMEN COURT
MORROW GA 30260

Officer/Director/Trustee Five

CHARLES BERNATH
DIRECTOR
PO BOX 768154
ROSWELL GA 30076

Organization’s website HYROWORLDWIDE.ORG
Organization’s email CONTACT@HYROWORLDWIDE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
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 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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