FORM 1023-EZ for ASSOCIATION POUR LE SOUTIEN DES ENFANTS D HAITI INC

Field Data
EIN 84-4542898
Case Number EO-2020038-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION POUR LE SOUTIEN DES ENFANTS D HAITI INC
Organization’s Mailing Address 202 UNION ROAD
City SPRING VALLEY
State NY
ZIP 10977
Accounting period End 12
Primary contact name REMY PREDESTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REMY PREDESTIN
PRESIDENT
202 UNION ROAD
SPRING VALLEY NY 10977

Officer/Director/Trustee Two

HERNZ LAGUERRE
VICE PRESIDENT
5 NOYES AVENUE
SPRING VALLEY NY 10977

Officer/Director/Trustee Three

NICOLE JEAN
TREASURER
12 E ECKERSON LANE
SPRING VALLEY NY 10977

Officer/Director/Trustee Four

MARISE JEAN
SECRETARY
20 GONSALVES WAY
STONGTON MA 02072

Officer/Director/Trustee Five

BRUNETTE FRANCOIS
BOARD MEMBER
1810 ALCOVY OAKS
LAWRENCE VILLE GA 30045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 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 REMY PREDESTIN
Signature Title PRESIDENT
Signature Date 2/5/2020

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