| Field | Data |
|---|---|
| EIN | 46-3325281 |
| Case Number | EO-2015142-000392 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITIAN INTER-CHURCH ASSOCIATION OFPOLK COUNTY INC |
| Organization’s Mailing Address | 187 OSPREY HEIGHTS DR |
| City | WINTER HAVEN |
| State | FL |
| ZIP | 33880 |
| Accounting period End | 12 |
| Primary contact name | OTHNER ST FLEUROSE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
OTHNER ST FLEUROSE
SEC
187 OSPREY HEIGHTS DR
WINTER HAVEN FL 33880
SAJOUS GABRIEL
PRES
238 MEADOW VUE LN
AUBURNDALE FL 33823
HAROLD SANON
TRES
3945 WARBLER DR
WINTER HAVEN FL 33880
| Organization’s website | |
|---|---|
| Organization’s email | OTHONERRE@HOTMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/29/2013 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| 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 | |
| Signature Title | |
| Signature Date |
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