FORM 1023-EZ for AMBASSADORS OF NEW JERUSALEM HAITI

Field Data
EIN 82-1290011
Case Number EO-2017137-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMBASSADORS OF NEW JERUSALEM HAITI
Organization’s Mailing Address 955 53RD ST E APT 1234
City BRADENTON
State FL
ZIP 34208
Accounting period End 12
Primary contact name STANLEY JEAN-BAPTISTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STANLEY JEAN-BAPTISTE
PRESIDENT
955 53RD ST E APT 1234
BRADENTON FL 34208

Officer/Director/Trustee Two

JONATHAN DRAPEAU
SECRETARY
955 53RD ST E APT 1234
BRADENTON FL 34208

Officer/Director/Trustee Three

BOAZ DESIR
TREASURER
955 53RD ST E APT 1234
BRADENTON FL 34208

Organization’s website WWW.ANJHAITI.ORG
Organization’s email INFO@ANJHAITI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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