FORM 1023-EZ for HAITIAN AMERICAN LIBRARIAN ASSOCIATION INC

Field Data
EIN 82-2523121
Case Number EO-2017324-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITIAN AMERICAN LIBRARIAN ASSOCIATION INC
Organization’s Mailing Address 115 LEVERICH ST
City HEMPSTEAD
State NY
ZIP 11550
Accounting period End 12
Primary contact name JEAN RENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN RENE
PRESIDENT
115 LEVERICH ST
HEMPSTEAD NY 11550

Officer/Director/Trustee Two

MARIE IRMA ELIAS
VICE-PRESIDENT
42 UNION AVENUE
MOUNT VERNON NY 10550

Officer/Director/Trustee Three

ANGELINE BELJOUR
SECRETARY
216-03 94TH ROAD
QUEENS VILLAGE NY 11428

Officer/Director/Trustee Four

CAMINA RAPHAEL-LUBIN
SECRETARY
135 POST AVE-5L
WESTBURY NY 11590

Officer/Director/Trustee Five

FLORENCE LEYS PALOMO
SECOND SECRETARY
81-56 249TH ST
BELLEROSE NY 11426

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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