FORM 1023-EZ for THE HATIAN AMERICAN COMMUNITY ALLIANCE INC

Field Data
EIN 47-4485867
Case Number EO-2016053-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HATIAN AMERICAN COMMUNITY ALLIANCE INC
Organization’s Mailing Address WEST SILVERSPRINGS BLVD RM 2
City OCALA
State FL
ZIP 34475
Accounting period End 12
Primary contact name SUIS ST LOUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GILBERT LUBIN
C.E.O
13310 SOUTH WEST 80 ST
DUNNELLON FL 34432

Officer/Director/Trustee Two

SIUS ST LOUIS
DIRECTOR OF COMMUICAION
15485 SOUTH WEST 40 PL RD
OCALA FL 34481

Officer/Director/Trustee Three

NANETTE ST LOUIS
TREASURER
15485 SOUTH WEST 40 PL RD
OCALA FL 34481

Officer/Director/Trustee Four

BAZELAIS POTIER
VICE CHAIR PERSON
4762 SOUTH WEST 136 ST
OCALA FL 34473

Organization’s website
Organization’s email THACA2014@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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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