FORM 1023-EZ for HAITI INSPIRES INC

Field Data
EIN 83-1473942
Case Number EO-2018227-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAITI INSPIRES INC
Organization’s Mailing Address PO BOX 455
City FAIRVIEW
State PA
ZIP 16415
Accounting period End 12
Primary contact name CHRISTINE MATHEIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE MATHEIS
PRESIDENT
PO BOX 295
FAIRVIEW PA 16415

Officer/Director/Trustee Two

AUTUMN EAST
VICE PRESIDENT
14603 W CENTER ROAD
SPRINGBORO PA 16435

Officer/Director/Trustee Three

EDWARD DICKENS
DIRECTOR
100 NW 23RD AVE UNIT 1604
OCALA FL 34475

Organization’s website
Organization’s email CMMATHEIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/18
Organization Incorporation State PA
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: No
Educational: No
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 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 CHRISTINE MATHEIS
Signature Title PRESIDENT
Signature Date 8/13/18

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