FORM 1023-EZ for JEZREEL MISSION OF HAITI INC

Field Data
EIN 82-0718430
Case Number EO-2018218-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEZREEL MISSION OF HAITI INC
Organization’s Mailing Address 19011 NW 7 CT
City MIAMI
State FL
ZIP 33169
Accounting period End 12
Primary contact name JEANNETTE DUROSKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNETTE DUROSKA
PRESIDENT
19011 NW 7 CT
MIAMI FL 33169

Officer/Director/Trustee Two

MARIE-ANGE GABELLUS
VICE PRESIDENT
590 NE 172 STREET
MIAMI FL 33162

Officer/Director/Trustee Three

MARIE IDALETTE NICOLAS
TREASURER
18021 NW 6TH PLACE
MIAMI FL 33169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 JEANNETTE DUROSKA
Signature Title PRESIDENT
Signature Date 8/1/18

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