FORM 1023-EZ for HAITI JAZZ FOUNDATION USA INC

Field Data
EIN 46-5485258
Case Number EO-2014247-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI JAZZ FOUNDATION USA INC
Organization’s Mailing Address 447 NE 195 STREET
City NORTH MIAMI BEACH
State FL
ZIP 33179
Accounting period End 12
Primary contact name MILENA SANDLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIREILLE LOUIS
DIRECTOR
1865 NE 171 STREET
NORTH MIAMI BEACH FL 33162

Officer/Director/Trustee Two

RONALD JOSEPH
DIRECTOR
1011 ADUANA AVENUE
CORAL GABLES FL 33146

Officer/Director/Trustee Three

JOSEPH ALLEN
DIRECTOR
11410 N KENDALL DRIVE STE 310
MIAMI FL 33176

Officer/Director/Trustee Four

JOEL WIDMAIER
DIRECTOR
447 NE 195 STREET
NORTH MIAMI BEACH FL 33179

Officer/Director/Trustee Five

MILENA SANDLER
DIRECTOR
447 NE 195 STREET
NORTH MIAMI BEACH FL 33179

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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