FORM 1023-EZ for HAITI HEALTHCARE AIDE INC
| Field | Data |
|---|---|
| EIN | 82-2663874 |
| Case Number | EO-2020225-000261 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITI HEALTHCARE AIDE INC |
| Organization’s Mailing Address | 2229 EDGEMERE AVE |
| City | FAR ROCKAWAY |
| State | NY |
| ZIP | 11691 |
| Accounting period End | 12 |
| Primary contact name | JONATHAN GUILLAUME |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RODOLPH GUILLAUME
PRESIDENT
16 IRVNG AVE
LINDENHURST NY 11757
Officer/Director/Trustee Two
DANIELLA DAGRIN
TREASURER
863 STATION PL
WOODMERE NY 11598
Officer/Director/Trustee Three
MURIELLE GUILLAUME
SECRETARY
2229 EDGEMERE AVE
FAR ROCKAWAY NY 11691
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/30/2017 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - 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 | Yes |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | RODOLPH GUILLAUME |
| Signature Title | PRESIDENT |
| Signature Date | 8/10/2020 |
| EIN | 82-2663874 |
| Case Number | EO-2019092-000109 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITI HEALTHCARE AIDE INC |
| Organization’s Mailing Address | 2229 EDGEMERE AVENUE |
| City | FAR ROCKAWAY |
| State | NY |
| ZIP | 11691 |
| Accounting period End | 12 |
| Primary contact name | RODOLPH GUILLAUME |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RODOLPH GUILLAUME
PRESIDENT/BOARD MEMBER
2229 EDGEMERE AVENUE
FAR ROCKAWAY NY 11691
Officer/Director/Trustee Two
MURIEL GUILLAUME
BOARD MEMBER
2033 SW FEARS AVE
PORT ST LUCY NY 34954
Officer/Director/Trustee Three
DANIELLA DAGRIN
BOARD MEMBER
863 STATION PLACE
WOODMERE NY 11598
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/30/17 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E11 - Single Organization Support |
| 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 | 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 | RODOLPH GUILLAUME |
| Signature Title | PRESIDENT/BOARD MEMBER |
| Signature Date | 3/28/19 |
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