FORM 1023-EZ for HAITI MISSIONS

Field Data
EIN 46-3450979
Case Number EO-2014246-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI MISSIONS
Organization’s Mailing Address 11332 CO RD 71
City LEXINGTON
State AL
ZIP 35648
Accounting period End 7
Primary contact name JOSEPH HOLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH HOLLEY
PRESIDENT
11332 CO RD 71
LEXINGTON AL 35648

Officer/Director/Trustee Two

TOMMY BATES
VICE PRESIDENT
275 RIDGEWOOD DR
MUSCLE SHOALS AL 35661

Officer/Director/Trustee Three

DAN BURGESS
SECRETARY
4020 CO RD
FLORENCE AL 35633

Officer/Director/Trustee Four

JENNIFER SCHNEIDER
BOARD MEMBER
1801 FRIZZELL RD
LEXINGTON TN 38351

Officer/Director/Trustee Five

CAVAN HOLLEY
BOARD MEMBER
1014 OLIVE ST
FLORENCE AL 35630

Organization’s website HAITIMISSIONS.US
Organization’s email HOLLEYJOE1@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2013
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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

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