FORM 1023-EZ for HAITI COMMUNITY OUTREACH

Field Data
EIN 47-0988411
Case Number EO-2014340-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI COMMUNITY OUTREACH
Organization’s Mailing Address 161 LABAN ST
City PROVIDENCE
State RI
ZIP 02909
Accounting period End 12
Primary contact name STEPHANIE CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE CHARLES
PRESIDENT
161 LABAN ST
PROVIDENCE RI 02909

Officer/Director/Trustee Two

STEVE GRACEFFA
VICE PRESIDENT
2 CHARLES
PROVIDENCE RI 02904

Officer/Director/Trustee Three

SHERLEY NOZIL
SECRETARY
161 LABAN ST
PROVIDENCE RI 02909

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2014
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief 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 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 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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