FORM 1023-EZ for HAITI ABC FOUNDATION INC

Field Data
EIN 46-2487264
Case Number EO-2017331-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI ABC FOUNDATION INC
Organization’s Mailing Address 95 PIPETOWN HILL RD
City NANUET
State NY
ZIP 10954
Accounting period End 12
Primary contact name LUDGER MEDNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUDGER MEDNARD
FOUNDER/PRESIDENT
95 PIPETOWN HILL RD
NANUET NY 10954

Officer/Director/Trustee Two

SUZETTE LOUIS-JACQUES
TRUSTEE
105 WISBECH
SOMERSET NJ 08873

Officer/Director/Trustee Three

ESTHER LOUISME
TRUSTEE
21 DWIGHT AVENUE
SPRING VALLEY NY 10977

Officer/Director/Trustee Four

REGINALD ZIL
TRUSTEE
48 ORCHARD ST
SPRING VALLEY NY 10977

Organization’s website WWW.HAITIABC.ORG
Organization’s email HAITIABCORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2013
Organization Incorporation State NY
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-2487264
Case Number EO-2015026-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI ABC FOUNDATION INC
Organization’s Mailing Address 95 PIPETOWN HILL RD
City NANUET
State NY
ZIP 10954
Accounting period End 12
Primary contact name LUDGER MEDNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUDGER MEDNARD
FOUNDER/PRESIDENT
95 PIPETOWN HILL RD
NANUET NY 10954

Officer/Director/Trustee Two

SUZETTE LOUIS-JACQUES
TRUSTEE
105 WISBECH
SOMERSET NJ 08873

Officer/Director/Trustee Three

ESTHER LOUISME
TRUSTEE
21 DWIGHT AVENUE
SPRING VALLEY NY 10977

Officer/Director/Trustee Four

REGINALD ZIL
TRUSTEE
48 ORCHARD ST
SPRING VALLEY NY 10977

Organization’s website WWW.HAITIABC.ORG
Organization’s email HAITIABCORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2013
Organization Incorporation State NY
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
Signature Title
Signature Date

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