FORM 1023-EZ for HATS HAITI USA MISSION INC

Field Data
EIN 82-0775689
Case Number EO-2017115-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HATS HAITI USA MISSION INC
Organization’s Mailing Address 319 S BOWIE
City AMARILLO
State TX
ZIP 79106
Accounting period End 12
Primary contact name DAVID NANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NANCE
PRESIDENT
319 S BOWIE
AMARILLO TX 79106

Officer/Director/Trustee Two

BROOKS BOYETT
VICE PRESIDENT
6407 OAKHURST
AMARILLO TX 79109

Officer/Director/Trustee Three

JULIE RATLIFF
SECRETARY/TREASURER
3403 BARRETT PLACE
AMARILLO TX 79121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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