FORM 1023-EZ for PARTNERSHIP FOR EDUCATION DEMOCRACYAND HEALTH IN HAITI INC

Field Data
EIN 65-0642375
Case Number EO-2015009-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARTNERSHIP FOR EDUCATION DEMOCRACYAND HEALTH IN HAITI INC
Organization’s Mailing Address 2650 SW 27 AVENUE 2ND FLOOR
City MIAMI
State FL
ZIP 33133
Accounting period End 12
Primary contact name IRA J KURZBAN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL FARMER
DIRECTOR
101 DUNSTER STREET APT K21
CAMBRIDGE MA 02138

Officer/Director/Trustee Two

MICHELLE KARSHAN
DIRECTOR
70A GREENWICH AVENUE STE 373
NEW YORK NY 10011

Officer/Director/Trustee Three

IRA KURZBAN
DIRECTOR
2650 SW 27TH AVENUE STE 200
MIAMI FL 33133

Officer/Director/Trustee Four

LAURA FLYNN
DIRECTOR
3785 GARFIELD AVENUE SOUTH
MINNEAPOLIS MI 55409

Officer/Director/Trustee Five

LESLIE FLEMING
DIRECTOR
1770 THOUSAND OAKS BLVD
BERKELEY CA 93707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/1996
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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