FORM 1023-EZ for HEALTH AND WELLNESS OF HAITI

Field Data
EIN 84-2607024
Case Number EO-2020111-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH AND WELLNESS OF HAITI
Organization’s Mailing Address 6129 RALEIGH STREET APT 824
City ORLANDO
State FL
ZIP 32835
Accounting period End 7
Primary contact name JOHNNY RICHARD SEIDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY RICHARD SEIDE
FOUNDER/PRESIDENT
6129 RALEIGH STREET
ORLANDO FL 32835

Officer/Director/Trustee Two

DIOMERI DARENA
VP
ODPG CHATELAIN
GONAIVES

Officer/Director/Trustee Three

DAVID DELVA
EXECUTIVE DIRECTOR
ODPG CHATELAIN
GONAIVES

Officer/Director/Trustee Four

ADELINE METAYER
SECRETARY
15 RUELLE DOLCIUS 3 PONT
GONAIVES

Officer/Director/Trustee Five

LUDMILLA GEORGES
TREASURER
ODPG CHATELAIN
GONAIVES

Organization’s website HTTPS://HEALTH-AND-WELLNESS-OF-HAITI.WEBNODE.COM/
Organization’s email HEALTHVOLUNTEEROFHAITI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 JOHNNY RICHARD SEIDE
Signature Title FOUNDER/PRESIDENT
Signature Date 4/15/2020

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