FORM 1023-EZ for FONDATION AIDE HAITI DE LA DIASPORAINTERNATIONAL INC

Field Data
EIN 83-0961785
Case Number EO-2021238-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FONDATION AIDE HAITI DE LA DIASPORAINTERNATIONAL INC
Organization’s Mailing Address 5563 BUTTE STREET
City LEHIGH ACRES
State FL
ZIP 33971
Accounting period End 12
Primary contact name THEOMANE FRANCOIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELINOR ROGE
PRESIDENT
5563 BUTTE STREET
LEHIGH ACRES FL 33971

Officer/Director/Trustee Two

PHILIPPE BOIREAU
VICE PRESIDENT
1015 ALVIN AVE
LEHIGH ACRES FL 33971

Officer/Director/Trustee Three

ANDY JOLIVERT
TREASURER
6130 NW DURIAN STREET
PORT SAINT LUCIE FL 34986

Officer/Director/Trustee Four

ROGER ELCA
OFFICER
5563 BUTTE STREET
LEIGH ACRES FL 33971

Officer/Director/Trustee Five

LERIUS AMBROISE
OFFICER
2401 AMBERJACK CT
NAVARRE FL 32566

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELINOR ROGE
Signature Title PRESIDENT
Signature Date 8/24/2021

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