| Field | Data |
|---|---|
| EIN | 81-5022772 |
| Case Number | EO-2017020-000344 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CALIHAITIANS CALIFORNIA CARIBBEAN CONSORTIUM |
| Organization’s Mailing Address | 5319 UNIVERSITY DRIVE SUITE 232 |
| City | IRVINE |
| State | CA |
| ZIP | 92612 |
| Accounting period End | 12 |
| Primary contact name | KENNETH B BRIDGES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JAY LAMOTHE
PRESIDENT
5319 UNIVERSITY DRIVE SUITE 232
IRVINE CA 92612
MARIE LEBRUN
SECRETARY
5319 UNIVERSITY DRIVE SUITE 232
IRVINE CA 92612
STAFORD FRANCOIS
CFO
5319 UNIVERSITY DRIVE SUITE 232
IRVINE CA 92612
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/23/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| 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 | |
| Signature Title | |
| Signature Date |
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