FORM 1023-EZ for RURAL HAITI DEVELOPMENT INC

Field Data
EIN 81-4209534
Case Number EO-2018141-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RURAL HAITI DEVELOPMENT INC
Organization’s Mailing Address 1432 NORSKE ROAD
City DECORAH
State IA
ZIP 52101
Accounting period End 12
Primary contact name JANET PICKAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERI LANE
PRESIDENT/DIRECTOR
1799 WHITETAIL ROAD
DECORAH IA 52101

Officer/Director/Trustee Two

PAUL PICKAR
TREASURER
208 WOODLAND AVENUE
RICEVILLE IA 50466

Officer/Director/Trustee Three

JANET PICKAR
VICE PRESIDENT
208 WOODLAND AVENUE
RICEVILLE IA 50466

Officer/Director/Trustee Four

BETHANY VOLZ
DIRECTOR
1432 NORSKE ROAD
DECORAH IA 52101

Officer/Director/Trustee Five

DARWIN KOCK
DIRECTOR
9567 DALE AVENUE
RICEVILLE IA 50466

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q32 - International Economic Development
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Financial transactions with officers No
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 CHERI LANE
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/16/18

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