| Field | Data |
|---|---|
| EIN | 82-2915761 |
| Case Number | EO-2019072-000379 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PAC-HAITI INC |
| Organization’s Mailing Address | 64 OAK MEADOW RD |
| City | EVANSVILLE |
| State | IN |
| ZIP | 47725 |
| Accounting period End | 12 |
| Primary contact name | ANDREW SHOCKLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANDREW SHOCKLEY
PRESIDENT
64 OAK MEADOW RD
EVANSVILLE IN 47725
JESSICA SHOCKLEY
TREASURER/SECRETARY
64 OAK MEADOW RD
EVANSVILLE IN 47725
LANCE FEIKERT
VICE PRESIDENT
BOX 212
BUCKLIN KS 67834
BRANDI RUBENACKER
MEMBER
7771 CR 2200 N
DAHLGREN IL 62828
| Organization’s website | WWW.PAC-HAITI.ORG |
|---|---|
| Organization’s email | INFO@PAC-HAITI.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/17 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Q33 - International Relief |
| 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 | ANDREW SHOCKLEY |
| Signature Title | PRESIDENT |
| Signature Date | 3/11/19 |
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