FORM 1023-EZ for HAITIAN AMERICAN COMMUNITY SERVICESINC

Field Data
EIN 83-0846561
Case Number EO-2019154-000488
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITIAN AMERICAN COMMUNITY SERVICESINC
Organization’s Mailing Address 1675 RANDOLPH ROAD
City SCHENECTADY
State NY
ZIP 12308
Accounting period End 7
Primary contact name MARC LACROIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC LACROIX
DIRECTOR
1675 RANDOLPH ROAD
SCHENECTADY NY 12308

Officer/Director/Trustee Two

MARGE LACROIX
TRUSTEE
443 HEGEMAN STREET
SCHENECTADY NY 12306

Organization’s website
Organization’s email HAITIANAMERICANCSNY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/14
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 MARC LACROIX
Signature Title DIRECTOR
Signature Date 5/31/19

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