FORM 1023-EZ for THE HAITIAN AMERICAN NURSES ASSOCIATION OF GEORGIA INC

Field Data
EIN 45-4315653
Case Number EO-2017283-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HAITIAN AMERICAN NURSES ASSOCIATION OF GEORGIA INC
Organization’s Mailing Address POBOX 2250 662 OAK RD
City SNELLVILLE
State GA
ZIP 30078
Accounting period End 12
Primary contact name YOLAINE NOZILE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOLAINE NOZILE
PRES
4213 SCENIC MOUNTAIN DR
SNELLVILLE GA 30039

Officer/Director/Trustee Two

DOROTHY CRISASTOMO
VICE PRES
2250 OAK RD
SNELLVILLE GA 30078

Officer/Director/Trustee Three

MYRLENE SMITH
TREASURER
2250OAK RD
SNELLVILLE GA 30078

Officer/Director/Trustee Four

YVROSE JEAN
SECRETARY
2250 OAK RD
SNELLVILLE GA 30078

Officer/Director/Trustee Five

CHARLES BERNATH
DIRECTOR REGISTERED AGENT
140 N POND WAY
ROSWELL GA 30076

Organization’s website WWW.HANAOFGEORGIA.ORG
Organization’s email HANAATLANTACHAPTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 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
Signature Title
Signature Date

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