FORM 1023-EZ for HAITI WATER INITIATIVES

Field Data
EIN 82-3796418
Case Number EO-2018032-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITI WATER INITIATIVES
Organization’s Mailing Address 11556 TIVOLI LANE
City ST. LOUIS
State MO
ZIP 63146
Accounting period End 12
Primary contact name SHARON MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON MORGAN
PRESIDENT
11556 TIVOLI LANE
ST. LOUIS MO 63146

Officer/Director/Trustee Two

YVONE MCCOOL
SECRETARY
1997 RESERVE BLVD
GOLF BEACH FL 32561

Officer/Director/Trustee Three

STEPHEN MCCARY
TREASURER
129 STONEVAIL CREEK DRIVE
O'FALLON MO 63368

Officer/Director/Trustee Four

CYNTHIA ROGERS MAIGAN
BOARD MEMBER
5611 SPRING LAKE TERRACE
BOYTON BEACH FL 33437

Officer/Director/Trustee Five

SHAWN CARRINGTTON
BOARD MEMBER
1721 COPPERPLACE ROAD
CHARLOTTE NC 28262

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W80 - Public Utilities
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 SHARON MORGAN
Signature Title PRESIDENT
Signature Date 1/30/18

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