FORM 1023-EZ for HAITIAN CHILDRENS INITIATIVE

Field Data
EIN 81-5180104
Case Number EO-2017087-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITIAN CHILDRENS INITIATIVE
Organization’s Mailing Address 1750 N BAYSHORE DR SUITE 4705
City MIAMI
State FL
ZIP 33132
Accounting period End 12
Primary contact name FRANCISCO OCASIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCISCO OCASIO
TREASURER
1750 N BAYSHORE DR
MIAMI FL 33132

Officer/Director/Trustee Two

FRANCESCA MORGAN
EXECUTIVE DIRECTOR
1750 N BAYSHORE DR
MIAMI FL 33132

Officer/Director/Trustee Three

OLIVIER ADE
SECRETARY
8625 NW 196TH TERRACE
MIAMI FL 33015

Officer/Director/Trustee Four

FRANCISCO NAVARRO
DIRECTOR
9834 BIRCH STREET
OAKLAND CA 94603

Officer/Director/Trustee Five

GIOVANI TASSY
DIRECTOR
116 NW 9TH TER
HALLANDALE FL 33009

Organization’s website WWWHAITIANCHILDRENSINITIATIVEORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 Yes
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 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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