FORM 1023-EZ for MEN ANSANM POU LAGONAV

Field Data
EIN 85-3696502
Case Number EO-2020314-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEN ANSANM POU LAGONAV
Organization’s Mailing Address 20 LLOLEETA PATH
City PALM COAST
State FL
ZIP 32164
Accounting period End 12
Primary contact name DIEUCINE CENECHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIEUCINE CENECHARLES
VICE PRESIDENT
20 LLOLEETA PATH
PALM COAST FL 32164-5889

Officer/Director/Trustee Two

MIRLANDE MARES
TRESORY
750 SE LANSDOWNE AVENUE
PORT ST LUCIE FL 34983

Officer/Director/Trustee Three

AGARD COLIN
SECRETARY
8034 TORRO CT
ORLANDO FL 32810

Officer/Director/Trustee Four

ADAM MARCELIN
MEMBER
328 ASHBOURNE DRIVE
ORLANDO FL 32835

Officer/Director/Trustee Five

SAINTE HELENE MARCELIN
MEMBER
3044 BELLINGHAM DRIVE
ORLANDO FL 32825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 DIEUCINE CENECHARLES
Signature Title VICE PRESIDENT
Signature Date 11/5/2020

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