FORM 1023-EZ for AGAPE GLOBAL HEALTH FOR HAITI INC

Field Data
EIN 46-0558736
Case Number EO-2017076-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGAPE GLOBAL HEALTH FOR HAITI INC
Organization’s Mailing Address PO BOX 200040
City BOSTON
State MA
ZIP 02120-0001
Accounting period End 9
Primary contact name RENA FREEDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ENO MONDESIR
PRESIDENT
PO BOX 200040
BOSTON MA 02120-0001

Officer/Director/Trustee Two

ROBERT NIERMAN
DIRECTOR
PO BOX 200040
BOSTON MA 02120-0001

Officer/Director/Trustee Three

RASHIKA MATHEWS
DIRECTOR
PO BOX 200040
BOSTON MA 02120-0001

Officer/Director/Trustee Four

ROY CRYSTAL
DIRECTOR
PO BOX 200040
BOSTON MA 02120-0001

Officer/Director/Trustee Five

RENA FREEDMAN
TREASURER
PO BOX 200040
BOSTON MA 02120-0001

Organization’s website WWW.HAITIAGAPEHEALTH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 No
One Third Support Gifts Yes
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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