| Field | Data |
|---|---|
| EIN | 81-4548330 |
| Case Number | EO-2021091-000849 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITIAN AMERICAN MEDICAL ASSOCIATION |
| Organization’s Mailing Address | 49 PENNSYLVANIA AVE |
| City | SOMERVILLE |
| State | MA |
| ZIP | 02145 |
| Accounting period End | 12 |
| Primary contact name | MIKE MOISE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRENDA LORMIL
PRESIDENT
49 PENNSYLVANIA AVE
SOMERVILLE MA 02145
BRENDA LORMIL
TREASURER
49 PENNSYLVANIA AVE
SOMERVILLE MA 02145
BRENDA LORMIL
CLERK
49 PENNSYLVANIA AVE
SOMERVILLE MA 02145
BRENDA LORMIL
DIRECTOR
49 PENNSYLVANIA AVE
SOMERVILLE MA 02145
| Organization’s website | HTTPS://WWW.MYHAMAHEALTH.ORG/ |
|---|---|
| Organization’s email | ACCOUNTSPAYABLE@MYHAMAHEALTH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/13/2014 |
| 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 | 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 | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRENDA LORMIL |
| Signature Title | DIRECTOR |
| Signature Date | 2/20/2021 |
| EIN | 81-4548330 |
| Case Number | EO-2017170-000408 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITIAN AMERICAN MEDICAL ASSOCIATION - HAMA |
| Organization’s Mailing Address | 49 PENNSYLVANIA AVE |
| City | SOMERVILLE |
| State | MA |
| ZIP | 02145 |
| Accounting period End | 12 |
| Primary contact name | BRENDA LORMIL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRENDA LORMIL
FOUNDER AND EXECUTIVE DIRECTOR
49 PENNSYLVANIA AVE
SOMERVILLE MA 02145
| Organization’s website | |
|---|---|
| Organization’s email | MYHAMAHEALTH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/7/2017 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| 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 | 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 | 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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