| Field | Data |
|---|---|
| EIN | 47-4947758 |
| Case Number | EO-2016074-000119 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITI NEUROSURGERY INITIATIVE |
| Organization’s Mailing Address | PO BOX 98418 |
| City | ATLANTA |
| State | GA |
| ZIP | 30359 |
| Accounting period End | 12 |
| Primary contact name | ANNIE MCDONOUGH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
JONATHAN RILEY
PRESIDENT
2345 PEACHWOOD CIRCLE NE APT 4303
ATLANTA GA 30345
SUKREET RAJU
TREASURER
200 CARONDELET ST UNIT 701
NEW ORLEANS LA 70130
ANNE MCDONOUGH
SECRETARY
1620 12TH AVE
SAN FRANCISCO CA 94122
NICHOLAS BOULIS
VICE PRESIDENT
231 CASSON ST
ATLANTA GA 30307
| Organization’s website | HAITINEUROSURGERY.ORG |
|---|---|
| Organization’s email | HAITINEUROSURGERY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/1/2015 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | 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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