2024-08-06T15:17:56-05:00 2022-09-30 113066459 CERINI & ASSOCIATES LLP 3340 VETERANS MEMORIAL HWY BOHEMIA NY 11716 990PF 2021-10-01 463380379 HAITI AIR AMBULANCE SERVICE INC HAIT 6315948471 6 CORPORATE CENTER MELVILLE NY 11747 DAVID ELLIS EXECUTIVE DIRECTOR 5164460014 2024-08-06 1 KENNETH CERINI P00223556 6315821600 2024-08-06 2021 2024-08-08 14:25:15Z X X 8469470 X 6069366 1309 1309 1309 0 0 151630 0 151630 6222305 1309 152939 190800 0 0 190800 360206 0 0 360206 198230 0 0 198230 14916 0 0 14916 63979 0 0 63979 35107 0 0 35107 157858 0 0 268652 0 0 268652 2380440 0 0 2380440 3670188 0 0 3512330 1228875 1228875 4899063 0 0 4741205 1323242 1309 152939 1358643 4213735 4213735 29401 29401 2000000 113608 120637 120637 30089 0 0 4289269 257091 2268881 4032178 4032178 0 73519 73519 5771221 8469470 8469470 442125 1921966 103020 0 545145 1921966 X 5176076 6547504 50000 0 5226076 6547504 5771221 8469470 5226076 1323242 0 6549318 1814 6547504 18 0 18 0 18 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 1 1 NY 1 1 0 0 0 1 WWW.HAITIAIRAMBULANCE.ORG THE FOUNDATION 6315948471 6 CORPORATE CENTER MELVILLE NY 11747 1 HA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PATRICK DOLAN 6 CORPORATE CENTER MELVILLE NY 11747 PRESIDENT/DIRECTOR 5.00 0 0 0 BARTH A GREEN 6 CORPORATE CENTER MELVILLE NY 11747 TREASURER/DIRECTOR 1.00 0 0 0 RYMANN WINTER 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 JOSH SAPAN 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 MARLON BITAR 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 JERRY BITAR 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 VERENA DEMATTEIS 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 JEAN MARC DEMATTEIS 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 STACY WOLF 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 STEVE ISRAEL 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 MAARTEN BOUTE 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 DAVID ELLIS 6 CORPORATE CENTER MELVILLE NY 11747 EXECUTIVE DIRECTOR 40.00 190800 0 0 SUSAN RIVERS 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 ANN BERNZWEIG 6 CORPORATE CENTER MELVILLE NY 11747 SECRETARY 1.00 0 0 0 SEBASTIEN MEROVE-PIERRE 6 CORPORATE CENTER MELVILLE NY 11747 DIRECTOR 1.00 0 0 0 CORY OAKS 6 CORPORATE CENTER MELVILLE NY 11747 PROGRAM DIRECTOR 40.00 121635 0 0 KELLY W EDWARDS 6 CORPORATE CENTER MELVILLE NY 11747 NURSE 40.00 103668 0 0 DELETTE GAZAWAY 6 CORPORATE CENTER MELVILLE NY 11747 FLIGHT NURSE 40.00 95520 0 0 3 NONE 0 PROVIDE EMERGENCY AERIAL MEDICAL TRANSPORTATION IN THE COUNTRY OF HAITI AND TRANSFER PATIENTS TO OR FROM HAITIAN MEDICAL FACILITIES WHEN APPROPRIATE. 3949192 0 29175 1445687 0 1474862 0 0 1474862 22123 1452739 72637 X 4741205 0 4741205 2014-08-13 X 72637 584 57705 85982 216908 61741 496 49049 73085 184372 4741205 2186716 3004252 6181159 16113332 157858 99233 175163 2520910 2953164 4583347 2087483 2829089 3660249 13160168 0 0 48425 389 149747 57321 255882 0 0 0 0 X HAITIAN FOUNDATION 54 RUE D PARC INDUSTRIAL SONAPI PARCAUPRINCE HA FOREIGN CHARITY ALL GRANTS MADE BY HAITI AIR TO THE HAITIAN FOUNDATION ARE FOR FULL SUPPORT OF THE HAITIAN FOUNDATION'S MISSION (PROVIDING EMERGENCY AERIAL MEDICAL TRANSPORTATION IN HAITI) COVERING BOTH DIRECT SERVICE COSTS AS WELL AS ADMINISTRATIVE OVERHEAD. IN ACCORDANCE WITH HAITI AIR'S EXPENDITURE RESPONSIBILITY POLICY, HAITI AIR MONITORED THE CONTRIBUTIONS MADE TO THE GRANTEE DURING FISCAL 2022 TO ENSURE THAT ALL FUNDS WERE PROPERLY EXPENDED FOR THEIR INTENDED PURPOSE AND IN ACCORDANCE WITH IRS REGULATIONS. HAITI AIR RECEIVES MONTHLY REPORTING OF EXPENDITURES AS PART OF ITS MONTHLY REPORTING PACKAGE. HAITI AIR'S MANAGEMENT REVIEWS THE MONTHLY REPORTING PACKAGE PURSUANT TO AND TO THE EXTENT REQUIRED UNDER SECTION 53.4945-5(C)(1) TO DETERMINE THAT EXPENDITURES WERE PROPERLY EXPENDED IN ACCORDANCE WITH THE PURPOSE OF THE GRANT. HAITI AIR'S MANAGEMENT DID NOT BECOME AWARE OF ANY DIVERSION OF ANY GRANT FUNDS FROM THEIR INTENDED PURPOSE. 1228875 1228875 0 PATIENT TRANSPORT FEES 27240 1309 OTHER INCOME 124390 0 0 152939 152939 1A PROVIDE EMERGENCY AERIAL MEDICAL TRANSPORTATION IN HAITI 11A MISCELLANEOUS 0 0 0 0 0 0 0 0 0 0 X X 1 DOLAN FAMILY FOUNDATION 10 MELVILLE PARK ROAD MELVILLE NY 11747 6000000 X 2 CLARA LIONEL FOUNDATION 81 PROSPECT STREET BROOKLYN NY 11201 50000 X ACCOUNTING FEES 63979 0 0 63979 AMENDED RETURN FORM 990PF, AMENDED RETURN SUBSEQUENT TO THE FILING OF THEIR 990, HAITI AIR COMPLETED THEIR ANNUAL FINANCIAL ANALYSIS WHICH RESULTED IN CHANGES TO PARTS I, II, III, AND IX. THE CHANGES ARE AS FOLLOWS:PART I LINE 1: $6,172,386 -> $6,069,366PART I LINE 4: $0 -> $1,309PART I LINE 11: $48,105 -> $151,630PART I LINE 21: $257,206 -> $268,652PART I LINE 23: $1,890,636 -> $2,380,440PART I LINE 27B: $0 -> $1,309PART I LINE 27C: $23,105 -> $152,939PART II LINE 17: $1,420,716 -> $1,921,966PART II LINE 24: $1,420,716 -> $6,547,504PART III LINE 5: $0 -> $1,814PART IX LINE 1A: $29,005 -> $29,175PART IX LINE 1B: $1,505,952 -> $1,474,862BY MAKING A GRANT TO THE HAITIAN FOUNDATION, HAITI AIR MUST EXERT EXPENDITURE RESPONSIBILITY. AS REQUIRED BY THE IRS, THE FOLLOWING INFORMATION IS LISTED IN REGARD TO THIS GRANT.1. THE NAME AND ADDRESS OF THE GRANTEE: 2. THE DATE AND AMOUNT OF THE GRANT:3. THE PURPOSE OF THE GRANT:4. THE AMOUNTS SPENT BY THE GRANTEE (BASED ON THE MOST RECENT REPORT RECEIVED FROM THE GRANTEE):5. WHETHER, TO THE KNOWLEDGE OF THE GRANTOR FOUNDATION, THE GRANTEE HAS DIVERTED ANY FUNDS FROM THE PURPOSE OF THE GRANT:6. THE DATES OF ANY REPORTS RECEIVED FROM THE GRANTEE:7. THE DATE AND RESULTS OF ANY VERIFICATION OF THE GRANTEE'S REPORTS UNDERTAKEN BY OR AT THE DIRECTION OF THE GRANTOR FOUNDATION: LEGAL FEES 14916 0 0 14916 SECURITY DEPOSITS 73519 73519 UNREALIZED GAIN/LOSS ON INVESTMENTS 1814 INSURANCE AND MAINTENANCE 44875 0 0 44875 MEDICAL OPERATIONS 157298 0 0 157298 SUPPLIES AND OTHER 201634 0 0 201634 HELICOPTER EXPENSE 1976633 0 0 1976633 PATIENT TRANSPORT FEES 27240 27240 OTHER INCOME 124390 124390 PPP LOAN PAYABLE 103020 0 OTHER PROFESSIONAL FEES 35107 0 0 35107