FORM 1023-EZ for EQUIPPING HAITI INC

Field Data
EIN 81-4015283
Case Number EO-2016280-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EQUIPPING HAITI INC
Organization’s Mailing Address 706 S BUCHANAN STREET
City MARION
State IL
ZIP 62959-3124
Accounting period End 12
Primary contact name TIMOTHY PETROWICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY PETROWICH
PRESIDENT
706 SOUTH BUCHANAN STREET
MARION IL 62959-3124

Officer/Director/Trustee Two

KATRINA KUH
VICE-PRESIDENT
1400 DANIELLE COURT
MARION IL 62959-1545

Officer/Director/Trustee Three

PENNIE NELSON
TREASURER
405 EAST WARDER STREET
MARION IL 62959-3174

Officer/Director/Trustee Four

SHANE SHELLEY
DIRECTOR
424 SOUTH COURT STREET
MARION IL 62959-2712

Officer/Director/Trustee Five

JOSHUA MONDA
DIRECTOR
413 ROSEWOOD DRIVE
WASHINGTON IL 61571-3152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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

Recently Saved Organizations

Click on the save icon from a search results or organization page.