FORM 1023-EZ for THE CAMP HAITI INC

Field Data
EIN 35-2655456
Case Number EO-2019128-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAMP HAITI INC
Organization’s Mailing Address 318 FLEMING STREET
City SEBASTIAN
State FL
ZIP 32958
Accounting period End 12
Primary contact name MATTHEW A SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW SMITH
EXECUTIVE DIRECTOR
318 FLEMING STREET
SEBASTIAN FL 32958

Officer/Director/Trustee Two

LAURA MACNEIL
PRESIDENT
3170 AIRMANS DRIVE
FORT PIERCE FL 34946

Officer/Director/Trustee Three

JOSEPH CRAWFORD
DIRECTOR
1732 HAMMOCK CIRCLE WEST
JACKSONVILLE FL 32225

Officer/Director/Trustee Four

JOSHUA BANKS
DIRECTOR
67 DEVON ROAD
LEXINGTON OH 44904

Officer/Director/Trustee Five

BOBBY BOYER
DIRECTOR
3170 AIRMANS DRIVE
FORT PIERCE FL 34946

Organization’s website CAMPHAITI.ORG
Organization’s email INFO@CAMPHAITI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 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 MATTHEW SMITH
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/6/19

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