FORM 1023-EZ for FRIENDS AND CHILDREN OF HAITI FOUNDATION

Field Data
EIN 80-0711276
Case Number EO-2014223-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS AND CHILDREN OF HAITI FOUNDATION
Organization’s Mailing Address 691 SEALE AVE
City PALO ALTO
State CA
ZIP 94301
Accounting period End 12
Primary contact name MILLIARDAIRE SYVERAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MILLIARDAIRE SYVERAIN
PRESIDENT AND TREASURER
691 SEALE AVE
PALO ALTO CA 94301

Officer/Director/Trustee Two

YVES-RENEE SYVERAIN
SECRETARY
691 SEALE AVE
PALO ALTO CA 94301

Organization’s website WWW.4HAITI.ORG
Organization’s email INFO@4HAITI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2011
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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