FORM 1023-EZ for FIRST HAITIAN COMMUNITY RESOURCE CENTER INC

Field Data
EIN 45-4394503
Case Number EO-2015272-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIRST HAITIAN COMMUNITY RESOURCE CENTER INC
Organization’s Mailing Address 4623 EXPRESS DRIVE NORTH
City RONKONKOMA
State NY
ZIP 11779
Accounting period End 12
Primary contact name GERALD JEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIE LINE LUBIN
PRESIDENT
4623 EXPRESS DR N
RONKONKOMA NY 11779

Officer/Director/Trustee Two

DENIS SOLOMAN
VICE PRESIDENT
5 MAPLESHADE LANE
STONYBROOK NY 11790

Officer/Director/Trustee Three

GERALD JEAN
SECRETARY
82 PINE STREET
FREEPORT NY 11520

Organization’s website FIRSTHCRC.ORG
Organization’s email HCRCOFNY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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