FORM 1023-EZ for CLIMB7SUMMITS4HAITI-ORG

Field Data
EIN 83-3127791
Case Number EO-2019035-000898
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIMB7SUMMITS4HAITI-ORG
Organization’s Mailing Address 2425 PALM RD
City WEST PALM BEACH
State FL
ZIP 33406
Accounting period End 12
Primary contact name DAVID MCCAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MCCAMPBELL
DIRECTOR
2425 PALM RD
WEST PALM BEACH FL 33406

Officer/Director/Trustee Two

THERESA SMALLEY
DIRECTOR
8953 SW 53 ST
COOPER CITY FL 33328

Officer/Director/Trustee Three

PATRICIA VAN LANGE
DIRECTOR
8953 SW 53 ST
GREAT FALLS MT 59405

Organization’s website WWW.CLIMB7SUMMITS4HAITI.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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 DAVID MCCAMPBELL
Signature Title DIRECTOR
Signature Date 1/14/19

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