FORM 1023-EZ for HOPE AND CHANGE FOR HAITI

Field Data
EIN 81-4503729
Case Number EO-2017062-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE AND CHANGE FOR HAITI
Organization’s Mailing Address 200 MESHANTICUT VALLEY PKWY
City CRANSTON
State RI
ZIP 02920
Accounting period End 12
Primary contact name NORLY GERMAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORLY GERMAIN
PRESIDENT
200 MESHANTICUT VALLEY PKWY
CRANSTON RI 02920

Officer/Director/Trustee Two

PETER LANE
TREASURER
200 MESHANTICUT VALLEY PKWY
CRANSTON RI 02920

Officer/Director/Trustee Three

BETHANY CORREIA
SECRETARY
200 MESHANTICUT VALLEY PKWY
CRANSTON RI 02920

Officer/Director/Trustee Four

ANIECE GERMAIN
VICE PRESIDENT
200 MESHANTICUT VALLEY PKWY
CRANSTON RI 02920

Officer/Director/Trustee Five

PAUL JEAN LAURENT
ADVISER
200 MESHANTICUT VALLEY PKWY
CRANSTON RI 02920

Organization’s website HTTPS://WWW.HNCFORHAITI.ORG
Organization’s email HNC4HAITI@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2016
Organization Incorporation State RI
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: No
Educational: Yes
Scientific: Yes
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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