FORM 1023-EZ for EVOLUTION D HAITI-USA INC

Field Data
EIN 82-4074986
Case Number EO-2018064-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVOLUTION D HAITI-USA INC
Organization’s Mailing Address 14317 SW 274TH STREET
City HOMESTEAD
State FL
ZIP 33032
Accounting period End 12
Primary contact name EDSON ST CYR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDSON ST CYR
PRESIDENT
14317 SW 274TH STREET
HOMESTEAD FL 33032

Officer/Director/Trustee Two

AVEZOU PETIT-FRERE
CHIEF FINANCIAL OFFICER
18 VISCOUNT DR
ROCHESTER NY 14623

Officer/Director/Trustee Three

ARNAUD CASAME
PROJECT MANAGER
70 LONG BEACH RD
HEMPSTEAD NY 11550

Organization’s website EVOH.FR
Organization’s email EDSONSTCYR@EVOH.FR
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 EDSON ST CYR
Signature Title PRESIDENT
Signature Date 3/1/18

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