FORM 1023-EZ for LATOTI TET ANSANM

Field Data
EIN 86-2908984
Case Number EO-2021119-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LATOTI TET ANSANM
Organization’s Mailing Address 8651 GREEN CAY
City WEST PALM BACH
State FL
ZIP 33411
Accounting period End 12
Primary contact name CINDY LEANDRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUZUS NORTELUS
PRESIDENT
8651 GREEN CAY
WEST PALM BEACH FL 33411

Officer/Director/Trustee Two

JULIEN JULMISTE
OFFICER
2500 18TH STREET SW
LEHIGH ACRES FL 33976

Officer/Director/Trustee Three

GARY ROBERT LORISTON
OFFICER
11500 NORTH DALE MABRY HWY APT 502
TAMPA FL 33618

Officer/Director/Trustee Four

ANTOINE NORTELUS
OFFICER
28 BARNES AVENUE
MALDEN MA 02148

Organization’s website
Organization’s email JJULMISTE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State FL
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 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 LUZUS NORTELUS
Signature Title PRESIDENT
Signature Date 4/27/2021

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