FORM 1023-EZ for HAITI RASANBLE

Field Data
EIN 82-1888751
Case Number EO-2017298-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI RASANBLE
Organization’s Mailing Address 2515 E THOMAS RD STE 16
City PHOENIX
State AZ
ZIP 85016
Accounting period End 12
Primary contact name WENSLY ACCILIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENSLY ACCILIEN
PRESIDENT/CEO
2515 E THOMAS RD STE 16
PHOENIX AZ 85016

Officer/Director/Trustee Two

NAULINE VICTORIEUX
SECRETARY
8834 N 2ND ST UNIT C
PHOENIX AZ 85020

Organization’s website WWW.HAITIRASANBLE.ORG
Organization’s email HAITIRASANBLE@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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 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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