FORM 1023-EZ for CHANGE FOR HAITIAN YOUTH INC
| Field | Data |
|---|---|
| EIN | 83-3756112 |
| Case Number | EO-2019112-000564 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHANGE FOR HAITIAN YOUTH INC |
| Organization’s Mailing Address | 109 16 176TH STREET |
| City | JAMAICA |
| State | NY |
| ZIP | 11433 |
| Accounting period End | 12 |
| Primary contact name | SMANA SERADIEU |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SMANA SERADIEU
CHIEF EXECUTIVE OFFICER
10916 176TH STREET
JAMAICA NY 11433
Officer/Director/Trustee Two
SHANI WANG
TREASURER
22309 57TH AVE
OAKLAND GARDENS NY 11364
Officer/Director/Trustee Three
SELIANA SERADIEU
CHAIRPERSON OF THE GOVERNING BODY
115 MAIN STREET APT 7
NORWALK CT 6851
Officer/Director/Trustee Four
GUELORY BRUTUS
VICE CHAIR OF THE GOVERNING BODY
36 TAYLOR AVE
NORWALK CT 6854
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/11/19 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | SMANA SERADIEU |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 4/18/19 |
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