2010 One Caribbean Exempt App Redacted

7/30/2019 2010 One Caribbean Exempt App Redacted

1/43

1023

pplication for Recognition of Exemption

MB No.

Form

Note:

I f exe

(Rev. June 2006)

Under Section 501 c) 3) of the Internal Revenue Code

1t s

tatus

is

is

Deparmiant of the Treasuiy

application

will be open

Interred Revenue Serce

for public inspect ion

Use the instructions to com plete this application and for a de finition of all bold items. For additional help, call IRS Exempt

Organizations Customer Account Services toll-free at 1-877-829-5500. Visit our website at www.irs.gov

for forms and

publications. If the required information and documents are not submitted with payment of the appropriate user fee, the

application may be returned to you.

Attach additional sheets to this application if you need more space to answer fully. Put your name and EIN on each sheet and

identify each answer by Part and line number. Complete Parts

I -

XI of Form 1023 and submit only those Schedules (A through

H) that apply to you.

Identification of Applicant

I Full name of organization (exactly as it appears In your organizing document)

12

do Name (if applicable)

ONE CARIBBEAN FOUNDATION, INC.

3 Mailing address (Number and street) (see instructions)

146 SUSSEX ROAD

City or town, state or country, and ZIP + 4

ELMONT, NY 11003

EDMUN BRAIThWAITE

Room/Suite 4 Employer Identification Number

22-3979350

5 Month the annual accounting period ends (01-12)

12

b Phone:

516.424.6408

c Fax: (optional)

16.616.1317

6

Primary contact

(officer, director, trustee, or authorized representative)

a Name:

EDMUN BRAITHWAITE

7 Are you represented by an authorized representative, such as an attorney or accountant? If Yes,

l.

Yes

2]

No

provide the authorized representative's name, and the name and address of the authorized

representative's firm. Include a completed Form 2848, Po wet of Attorney and Declaration of

Representative, with your application if you would like us to communicate with your representative.

8 Was a person who is not one of your officers, directors, trustees, employees, or an authorized

2]

Yes

No

representative listed In line 7, paid, or promised payment, to help plan, manage, or advise you about

the structure or activities of your organization, or about your financial or tax matters? If Yes.

provide the person's name, the name and address of the person's firm, the amounts paid or

promised to be paid, and describe that person's role.

9a Organization's website:

b Organization's email: (optional)

10 Certain organizations are not

required

to file an information return (Form 990 or Form 990-EZ). If you [J

Yes

2]

No

are granted tax-exemption, are you claiming to be excused from filing Form 990 or Form 990-EZ? If

Yes, explain. See the instructions for a description of organizations not required to file Form 990 or

Form 990-El

11 Date incorporated if a corporation, or formed, If other than a corporation. (MM/DD/YYYY)

5

I

19 /

008

12 Were you formed under the laws of a foreign country?

DYes

2INo

If Yes. state the country.

For Paperwork Reduction Act Notice, see page 24 of the

instructions.

Cat. No. 17133K

Form

1023

(Rev. 6-2006)


2/43

Form 1023 (Rev. 6-2006)

Name:


EIN:

22 3979350

age

2

I1IIII Organizational Structure

You must be a corporation (including a limited liability

company),

an unincorporated association, or a trust to be tax exempt

(See instructions.) DO NOT file this form unless you can check Yes on lines 1, 2, 3, or 4.

1 Are you a corporation? If Yes, attach a copy of your articles of incorporation showing certification

[0 Yes

No

of filing with the appropriate state agency. Include copies of any am endments to your articles and

be sure they also show state filing certification.

2 Are you a limited liability company (LLC)? if Yes, attach a copy of your articles of organization showing

0

Yes

o

certification of filing with the appropriate state agency. Also, if you adopted an operating agreement, attach

a copy. Include copies of any amendments to your articles and be sure they show state filing certification.

Refer to the instructions for circumstances when an LLC should not file its own exemption application.

3 Are you an unincorporated association? If Yes, attach a copy

of your articles of association,

Yes

J No

constitution, or other similar organizing document that is dated and Includes at least two signatures.

Include signed and dated copies of any amendments.

4a Are you a trust? If Yes, attach a signed and dated copy of your trust agreement. Include signed

Yes

J

No

and dated copies of any am endments.

b Have you been funded? If No, explain how you are formed without anything of value placed in trust.

l

Yes

No

5 Have you adopted bylaws? If Yes, attach a current copy showing date of adoption. If No, explain lJ

Yes

No

how your officers, directors, or trustees are selected.

IIJJI Required Provisions in Your Organizing Document

The following questions are designed to ensure that when you file this application, your organizing document contains the required provisions

to meet the organizational test under section 501 (c)(3). Unless you can check the boxes In both lines 1 and 2, your organizing document

does not meet the organizational test. DO NOT file this application until you have amended your organizing document Submit your

original and amended organizing documents (showing state filing certification if you are a corporation or an LLC) with your application.

I Section 501(c)(3) requires that your organizing document state your exempt purpose(s), such as charitable,

religious, educational, and/or scientific purposes. Check the box to confirm that your organizing document

meets this requirement. Describe specifically where your organizing document meets this requirement, such as

a reference to a particular article or section in your organizing document. Refer to the instructions for exempt

purpose language. Location of Purpose Clause (Page, Article, and Paragraph): PAGE 1, ARTICLE 2

2a Section 501(c)(3) requires that upon dissolution of your organization, your remaining assets must be used exclusively

for exempt purposes, such as charitable, religious, educational, and/or scientific purposes. Check the box on line 2a to

confirm that your organizing document m eets this requirement by express provision for the distribution of assets upon

dissolution. If you rely on state law for your dissolution provision, do not check the box on line 2a and go to line 2o.

2b If you checked the box on line 2a, specify the location of your dissolution clause (Page, Article, and Paragraph).

Do not com plete line 2c if you checked box

2a. ijAutb, AKI lC..L lb

2c

See the instructions for information about the operation

of state law in your particular state. Check this box If

J

you rely on operation of state law for your dissolution provision and indicate the state:

I11Thk A

Narrative Description of

Your Activities

Using an attachment, describe your

past,

present,

and planned

activities In a narrative. If you believe that you have already provided some of

this information in response to other parts of this application, you may summarize that information here and refer to the specific parts of the

application for supporting details. You may also attach representative copies of newsletters, brochures, or similar documents for supporting

details to this narrative. Remember that if this application is approved, it will be open for public inspection. Therefore, your narrative

description of activities should be thorough and accurate. Refer to the Instructions for information that must be Included in your description.

ompensation and Other Financial

Arrangements With Your Officers, Directors, Trustees,

-

mployees,

and

Independent Contractors

la

List the names, titles, and m ailing addresses of all of your officers, directors, and trustees. For each person listed, state their

total annual compensation, or proposed compensation, for all services to the organization, whether as an officer, employee, or

other position. Use actual figures, if available. Enter none if no compensation is or will be paid. If additional space is needed,

attach a separate sheet. Refer to the instructions for information on w hat to include as compensation.

Compensation amount

Name

I Title

Mailing address

(annual actual or esUm

SEE ATTACHMENT

Form 1023

Rev.

6-2006)


3/43

NIA

Form 1023 (Rev. 6-2006)

Name:


CI N :

22_3979350

age

3

Compensation

and Other Financial Arrangements With Your Officers, Directors, Trustees,

Employees, and Independent Contractors

(Continued)

b List the names, titles, and mailing

addresses of each of your five highest compensated employees w ho receive or will

receive compensation of more than $50,000 per year. Use the actual figure, if available. Refer to the Instructions for

information on what to include as compensation. D o not include officers, directors, or trustees listed in line la.

ame

itle Mailing address

(annual actual or est m;

c List the names, names of businesses, and ma iling addresses of your five highest compensated Independe nt contractors

that receive or will receive compe nsation of more than $50,000 pe r year. Use the a ctual figure, if available. Refer to the

instructions for information on what to include a s compensation.

Compensation amount

Name

Title

Mailing address

(annual actual or estimated)

NIA

The following Yes or No questions relate to past, present, or planned

relationships, transactions, or agreements with your officers,

directors, trustees, highest compensated employees, and highest compensated independent contractors listed In lines la, 1b, and 1c.

2a Are any of your officers, directors, or trustees related to each other through family or business

Yes

No

relationships? If Yes, identify the Individuals and explain the relationship.

b Do you have a business relationship with any of your officers, directors, or trustees other than

Yes

No

through their position as an officer, director, or trustee? If Yes, identify the individuals and describe

the business relationship with each of your officers, directors, or trustees.

c Are any of your officers, directors, or trustees related to your highest compensated em ployees or

Yes

No

highest compensated indepen dent contractors listed on lines 1b or is through family or business

relationships? If Yes, identify the individuals and explain the relationship.

3a For each of your officers, directors, trustees, highest compensated employees, and highest

compensated Indep endent contractors listed on lines 1a, 1b, or 1c, attach a list showing their name,

qualifications, average hours wo rked, and duties.

b Do any of your officers, directors, trustees, highest compensated employees, and highest

Yes

No

compensated indepen dent contractors listed on lines 1 a, 1 b, or is receive compensation from any

other organizations, whether tax exempt or taxable, that are related to you through commo n

control? If Yes, identify the individuals, explain the relationship between you and the other

organization, and describe the compensation arrangement.

4 In establishing the compensation for your officers, directors, trustees, highest compensated

employees, and highest compensated ind ependent contractors listed on lines 1 a, 1b, and 1c, the

following practices are recomme nded, although they are not required to obtain exemption. Answer

Yes to all the practices you use.

a Do you or will the individuals that approve compensation arrangements follow a conflict of interest policy?

Yes

No

b Do you or will you approve compensation arrangements in advance of paying compensation?

0

Yes

No

c Do you or will you docum ent in writing the date and terms of approved com pensation arrangements?

121

Ye s

No

Form

1023

(Rev. 6-2006)


4/43

Form 1023 (Rev. 6-2006)

Name:


IEIN: 22 _3979350

age

4

on and Other Financial Arrangements With Your Officers, Directors, Trustees,

and Independent Contractors

Continued)

will you record in writing the decision made by each individual who decided or voted on

Yes

No

compensation arrangements?

e Do you or will you approve compensation arrangements based on information about compensation paid

by

121

Ye s

No

similarly situated taxable or tax-exempt organizations for similar services, current compensation surveys

compiled by independent firms, or actual written offers from similarly situated organizations? Refer to the

Instructions for Part V, lines 1 a, 1 b, and 1 c, for information on what to include as compensation.

f Do you or w ill you record in writing both the information on which you relied to base your decision

Yes

No

and its Source?

g if you answered No to any Item on lines 4a through 4f, describe how you set compensation that is

reasonable for your officers, directors, trustees, highest compensated em ployees, and highest

compensated independent contractors listed in Part V. lines Ia, 1 b, and 1 c.

5a Have you adopted a conflict of interest policy consistent with the sample conflict of interest policy

es

No

in Appendix A to the instructions? If Yes, provide a copy of the policy and explain how the policy

has been adopted, such as by resolution of your governing board. If No, answer lines 5b and Sc.

b

What procedures will you follow to assure that persons who have a conflict of interest will not have

influence bver you for setting their own compensation?

c What procedures will you follow to assure that persons who have a conflict of interest will not have

influence over you regarding business deals with themselves?

Note: A conflict of interest policy is recomm ended though It is not required to obtain exem ption.

Hospitals, see Schedule C, Se ction I, line 14.

6a Do you or will you compensate any of your officers, directors, trustees, highest compensated employees,

and highest compensa ted Independent contractors fisted in lines la, Ib, or Ic through non-fixed

payments, such as discretionary bonuses or revenue-based payments? If

Yes, describe all non-fixed

compensation arrangements, including how the amounts are determined, who is eligible for such

arrangements, whether you place a limitation on total compensation, and how you determine or will

determine that you pay no more than reasonable compensation for services. Refer to the instructions for

Part V, lines 1 a, lb. and 1c, for information on what to include as compensation.

b Do you or w ill you compensate any of your employees, other than your officers, directors, trustees,

or your five highest compensated employees who receive or will receive compensation of more than

$50

1

000 per year, through non-fixed payments, such as discretionary bonuses or revenue-based

payments?

if

Yes, describe all non-fixed compensation arrangeme nts, including how the amounts

are or will be determined, who is or will be eligible for such arrangements, whether you place or will

place a limitation on total compensation, and how you determine or will determine that you pay no

more than reasonable compensation for services. Refer to the instructions for Part V, lines la, 1 b,

and 1c, for information on w hat to include as compensation.

El

Yes

No

DYes

1

No

7a Do you or w ill you purchase any goods, services, or assets from any of your officers, directors,

Yes

l

No

trustees, highest compensated employees, or highest compensated independent contractors listed in

lines 1 a, 1 b, or ic? If Yes, describe any such purchase that you made or intend to make, from

whom you make or w ill make such purchases, how the terms are or will be negotiated at arm's

length, and explain how you determine or will determine that you pay no more than fair market

value. Attach copies of any written contracts or other agreements relating to such purchases.

b Do you or will you sell any goods, services, or assets to any of your officers, directors, trustees,

Yes

2

No

highest compensated employees, or highest compensated independent contractors listed in lines la,

lb, or 1c? If Yes, describe any such sales that you made or intend to make, to whom you make or

will make such sales, how the terms are or will be negotiated at arm's length, and explain how you

determine or will determine you are or will be paid at least fair market value. Attach copies of any

written contracts or other agreements relating to such sales.

8a Do you or will you have any leases, contracts, loans, or other agreements with your officers, directors,

0

Yes

?']

No

trustees, highest compensated employees, or highest compe nsated independent contractors listed in

lines 1 a, 1 b, or 1 c? If Yes, provide the information requested in lines 8b through 8f.

b Describe any written or oral arrangements that you made or intend to make..

c Identify with whom you have or w ill have such arrangements.

d Explain how the terms are or will be negotiated at arm's length.

e Explain how you determine you pay no more than fair market value or you are paid at least fair market value.

t Attach copies of any signed leases, contracts, loans, or other agreements relating to such arrangements.

9a Do you or will you have any leases, contracts, loans, or other agreements with any organization in

Yes

23

No

which any of your officers, directors, or trustees are also officers, directors, or trustees, or in which

any individual officer, director, or trustee owns m ore than a 35% interest? If Yes, provide the

information requested In lines 9b through 9f.

Form

1023

(Rev. 6-2006)


5/43

Form 1023 (Rev. 6-2006)

Name:


EIN:

22_ 3979350

age

5

IlilWI Compensation and Other Financial Arrangements With Your Officers, Directors, Trustees,

Employees, and independent Contractors

(Continued)

b Describe any written or oral arrangements you made or intend to make.

c Identify with whom you have or will have such arrangements.

d Explain how the term s are or will be negotiated at arm's length.

o Explain how you determine or w ill determine you pay no more than fair market value or that you are

paid at least fair market value.

f Attach a copy of any signed leases, contracts, loans, or other agreements relating to such a rrangements.

IJ1Th'11 Your

Members and Other Individuals and

Organizations That Receive Benefits From You

The following Yes or No questions relate to goods, services, and funds you provide to individuals and organizations as part

of your activities. Your answers should pertain to past, present,

and planned

activities. (See instructions.)

la In carrying out your exempt purposes, do yo u provide goods, services, or funds to individuals? If

71

Yes

No

Yes, describe each program that provides goods, services, or funds to individuals.

b in carrying out your exem pt purposes, do you provide goods, services, or funds to organizations? If

71

Yes

No

Yes. describe each program that provides goods, services, or funds to organizations.

2 Do any o f your programs limit the provision of good s, services, or funds to a specific individual or

J

Yes

21 No

group of specific Individuals? For example, answer Yes, if goods, services, or funds are provided

only for a particular Individual, your members, individuals who work for a particular employer, or

graduates of a particular school. If Yes, explain the limitation and how recipients are selected for

each program.

3 Do any individuals who receive goods, services, or funds through your p rograms have a family or

Yes

2]

No

business relationship with any officer, director, trustee, or with any of your highest compensated

employees or highest compensated Independent contractors listed in Part V, lines 1 a, 1 b, and lc? If

Yes, explain how these related individuals are eligible for goods, services, or funds.

The followine Yes or No auestions relate to

I Are you a successor to another organization? Answer Yes, if you have taken or will takeover the

i

Yes

2]

No

activities of another organization; you took over 25% or more of the fair market value of the net

assets of another organization; or you were established upon the

conversion of an organization from

for-profit to non-profit status, If Yes, complete Schedule G.

2 Are you submitting this application more than 27 months after the end

of

the month in which you

Yes

o

were legally formed? If Yes, complete Schedule E.

I1I JlII Your

Specific Activities

The following Yes or No questions relate to specific activities that you may conduct. Check the appropriate boil. Your

answers should pertain to

past present,

and planned

activities. (See instructions.)

I Do you support or oppose candidates in political campaigns in any way? If Yes, explain.

CI

Yes

7]

No

2a

Do you attempt to influence legislation? If Yes, explain how you attempt to influence legislation

Yes

21 No

and complete line 2b. If No, go to line 3a.

b Have you m ade or are you m aking an election to have your legislative activities measured by

0

Yes

I

No

expenditures by filing Form 5768?

If

Yes, attach a copy

of

the Form 5768 that was already filed or

attach a completed Form 5768 that you are filing with this application.

If "No,"

describe whether your

attempts to influence legislation are a substantial part of your activities. Include the time and money

spent on your attempts to influence legislation as compared to your total activities.

3a Do you or will you operate bingo or gaming activities? If Yes, describe who conducts them, and

Yes

21

No

list all revenue received or expected to be received and expenses paid or expected to be paid in

operating these activities. Revenue and expenses should be provided for the time periods specified

in Part IX, Financial Data.

b Do you or w ill you enter Into contracts or other agreements with individuals or organizations to

J

Yes

21

No

conduct bingo or gaming for you? If Yes, describe any written or oral arrangements that you made

or intend to make, identify with whom you have or will have such arrangements, explain how the

terms are or will be negotiated at arm's length, and explain how you determine or will determine you

pay no more than fair market value or you will be paid at least fair market value. Attach copies or

any written contracts or other agreements relating to such arrangements.

o List the states and local jurisdictions, including Indian Reservations, in which you conduct or will

conduct gaming or bingo.

Form 1023

R

ev.

6.2006)


6/43

Form 1023 (Rev. 6-2006)

Name:

ONE CARIBBEAN FOUNDA TION, INC.

EIN:

22 3979350

age

6

ITTh

AHIYour

Specific Activities

(Continued)

4a Do you or will you undertake fundraising? If Yes, check all the fundraising programs you do or will

Z

Yes

No

conduct. (See instructions.)

0

mail solicitations

2

email solicitations

2

personal solicitations

0

vehicle, boat, plane, or similar donations

2

foundation grant solicitations

Attach a description of each fundraising program.

2 phone solicitations

0

accept donations on your website

[1

receive donations from another organization's website

2

government grant solicitations

2 Other

b Do you or w ill you have written or oral contracts with any Individuals or organizations to raise funds

Yes

2]

No

for you?

If

Yes, describe these activities. Include all revenue and expenses from these activities

and state who conducts them. R evenue and expenses should be provided for the time periods

specified in Part IX, Financial Data. Also, attach a copy of any contracts or agreements.

C

Do you or

Will

you engage in fundraising activities for other organizations?

If

Yes, describe these

Yes

2]

No

arrangements. Include a description of the organizations for which you raise funds and attach copies

of all contracts or agreements.

d List all states and local jurisdictions in which you conduct fundraising. For each state or local

jurisdiction listed, specify whether you fundraise for your own organization, you fundraise for another

organization, or another organization fundraises for you.

a Do you or will you maintain separate accounts for any co ntributor under which the contributor has

]

Yes

No

the right to advise on the use or distribution of funds? Answer Yes if the donor may provide advice

on the types of investments, distributions from the types of investments, or the distribution from the

donor's contribution account. If Yes, describe this program, including the type of advice that may

be provided and submit copies of any w ritten materials provided to donors.

5 Are you affiliated with a governmen tal unit? If Yes, explain.

0

Yes

21

No

6a Do you or will you engage in econom ic developm ent? If Yes, describe your program .

0

Yes

2]

No

b Describe in full who benefits from your economic development activities and how the activities

promote exempt purposes.

7a Do or will persons other than your employees or volunteers develop your facilities? If Yes, describe

U]

Yes

2]

No

each facility, the role of the developer, and any business or family relationship(s) between the

developer and your officers, directors, or trustees.

b Do or will persons other than your employees or volunteers m anage your activities or facilities? If

Yes, describe each activity and facility, the role of the manag er, and any business or family

relationship(s) between the manage r and your officers, directors, or trustees.

o If there is a business or family relationship between any manager or developer and your officers,

directors, or trustees, identify the individuals, explain the relationship, describe how contracts are

negotiated at arm's length so that you pay no m ore than fair market value, and submit a copy of any

contracts or other agreements.

8 Do you or will you enter Into joint ventures, including partnerships or limited liability com panies

treated as partnerships, in which you share profits and losses with partners other than section

501(c)(3) organizations? If Yes, describe the activities of these joint ventures in which you

participate.

9a Are you applying for exemption as a childcare organization under section 501(k)? If Yes, answer

lines 9b through 9d. If No, go to line 10.

b Do you p rovide child care so that parents or caretakers of children you care for can be gainfully

employed (see instructions)? If No, explain how you qualify as a childcare organization described

in section 501(k).

c Of the children for whom you provide child care, are 85% or m ore

of

them cared for by you to

enable their parents or caretakers to be gainfully employed (see instructions)? If No, explain how

you qualify as a childcare organization described in section 501(k).

d Are your services available to the general public? If No, describe the specific group of people for

whom your activities are available. Also, see the instructions and explain how you qualify as a

childcare organization described in section 501(k).

DYes IZJNo

DYes

12INo

El

Yes

12lNo

DYes

0 N

DYes

[I No

DYes

El

No

10 Do you or will you publish, own, or have rights in music, literature, tapes, artworks, choreography,

Yes

o

scientific discoveries, or other intellectual property? If Yes, explain. Describe who owns or will

own

any copyrights, patents, or trademarks, whether fees are or will be charged, how the fees are

determined, and how any items are or will be produced, distributed, and marketed.

Form 1023

pev.

6-2006)


7/43

Porn) 1023 (Rev. 6-2006)

Name:


EIN:

22- 3979350

age

7

I11I1III Your Specific Activities

Continued)

11 Do you o r will you accept contributions of: real property conservation easem ents; closely held

3 Yes

No

securities; intellectual property such as patents, trademarks, and copyrights; works of music or art;

licenses; royalties; automobiles, boats, planes, or other vehicles; or collectibles of any type? if Yes,

describe each type of contribution, any conditions imposed by the donor on the contribution, and

any agreements with the donor regarding the contribution.

12a Do you or will you operate in a foreign country or countries? if Yes, answer lines 12b through

3 Yes

J

No

12d. If No, go to line 13a.

b Nam e the foeign countries and regions within the countries in which you operate.

C

Describe your operations in each country and region in which you operate.

d Describe how your operations in each country and region further your exempt purposes.

13a Do you or will you make grants, loans, or other distributions to organization(s)? If Yes, answe r lines [3 Yes

J

No

13b through 13g. If No, go to line 14a.

b Describe how your grants, loans, or other distributions to organizations further your exempt purposes.

c Do you have written contracts with each of these organizations? If Yes, attach a copy of each contract.

3

Yes

21

No

d identify each recipient organization and any relationship between you and the recipient organization.

e Describe the records you keep with respect to the grants, loans, or other distributions you make.

f Describe your selection process, including whether you do any of the following:

(1) Do you require an application form? If Yes, attach a copy of the form.

Yes

No

(ii) Do you require a grant proposal? if Yes, describe whether the grant proposal specifies your

J

Yes

No

responsibilities and those of the grantee, obligates the grantee to use the grant funds only for the

purposes fur which the grant w as made, provides for periodic written reports concerning the use

of grant funds, reqUires a final written report and an accounting of how grant funds were used,

and acknowledges your authority to withhold and/or recover grant funds in case such funds are,

or appear to be, misused.

g Describe your procedures for oversight of distributions that assure you the resources are used to

further your exempt purposes, Including whether you require periodic and final reports on the use of

resources.

14a Do you or w ill you make grants, loans, or other distributions to forelgri

l

organizations? If Yes,

Yes

No

answer lines 14b through 14f. If No, go to line 15.

b Provide the nam e of each foreign organization, the country and regions within a country in which

each foreign organization operates, and describe any relationship you have with each foreign

organization.

c Does any foreign org anization listed in line 14b acce pt contributions earmarked for a sp ecific country

0

Yes

No

or specific organization? If Yes, list all earmarke d organizations or countries.

d Do your contributors know that you have ultimate authority to use contributions made to you at your

Yes

3

No

discretion for purposes consistent with your exempt purposes? if Yes, describe how you relay this

Information to contributors.

e Do you or will you make pro-grant inquiries about the recipient organization? If Yes, describe these

Yes

No

inquiries, including whether you inquire about the recipient's financial status, its tax-exempt status

under the internal Revenue Code, its ability to accomplish the purpose for which the resources are

provided, and other relevant information.

I

Do you or will you use any additional procedures to ensure that your distributions to foreign

C ]

Yes

l

No

organizations are used in furtherance of your exempt purposes? If Yes; describe these procedures,

including site visits, by your employees or compliance checks by Impartial experts, to verify that grant

funds are being used appropriately.

Form

1023

(Rev. 6-2006)


8/43

Form 1023 (Rev. 6 .2006)

Name:


jN:22-3979350

age 8

15 Do you have a close connection with any organizations? If

No

16 Are you applying for exemption as a coo perative hospital service organization under section

3

Yes

21

No

501(e)? If Yes, explain.

17 Are you applying for exemption as a cooperative service organization of operating educational

Yes.

12)

No

oraanizations under section 501(1)? If Yes. exolain.

18 Are you applyingfor exemption as a charitable risk pool under section 501

19 Do you or will you operate a school? If Yes, complete Schedule B. Answer Yes, whether you

ye s

21 No

operate a school as your main function or as a secondary activity.

20 Is your main function to provide hospital or medical care? If Yes, complete Schedule C.

0

Yes

2)

No

21 Do you or will you provide low income housing or housing for the elderly or handicapped? If

Yes

21

No

Yes, complete Schedule F.

22 Do you or will you provide scholarships, fellowships, educational loans, or other educational grants to

0

Yes

No

individuals, including grants for travel, study, or other similar purposes? If Yes, complete

Schedule H.

Note: Private foundations may use S chedule H to request advance approval of individual grant

procedures.

Form

1023 (Rev.

6-2006)


9/43

Form 1023 Rev. 6-2006)

Name:


EIN:

22_3979350

age

9

IITI4 Financial Data

For purposes of this schedule, years in existence refer to completed tax years. If in existence 4 or more years, complete the

schedule for the most recent 4 tax years. If in existence more than 1 year but less than 4 years'cbmpiete the statements for

each year in existence and provide projections of your likely revenues and expenses based on a reasonable and good faith

estimate of your future finances for a total of 3 years of financial information. If In existence less than 1 year, provide projections

of your likely revenues and expenses for the current year and the 2 following years, based on a reasonable and good faith

estimate of your future finances for a total of 3 years of financial information. (See instructions)

A. Statement of Revenues and Expenses

Type of revenue or expense

Current tax year

3 prior tax years or 2 succeeding tax years

a) From.

L.

b)

c) From----------- d)

a) ProvideTotaj for

To

...j? 9.Q.

o

PI.J

o

To

...111i...

I

a) through d)

I Gifts, grants, and

contributions received (do not

include unusual grants)

2 Memb ership fees received

3 Gross investment income

4 Net unrelated business

Income

5 Taxes levied for your benefit

6 Value of services or facilities

furnished by a governmental

unit without charge (not

t

ncluding the value of services

generally furnished to the

public without charge)

7 Any revenue not otherwise

listed above or in lines 9-12

below (attach an itemized list)

8 Total of lines 1 through 7

9 Gross receipts from admissions,

merchandise sold or services

performed, or furnishing of

facilities in any activity that is

related to your exempt

purposes (attach itemized list)

10 Total of lines 8 and 9

11 Net gain or loss on sale of

capital assets (attach

schedule and sea Instructions)

12 Unusual grants

13 Total Revenue

-

dd lines 10 through 12

14 Fundraising expenses

15 Contributions, gifts, grants,

and similar amounts paid out

(attach an itemized list)

16 Disbursements to or for the

benefit of members (attach an

itemized list)

,,

17

Compensation of officers,

directors, and trustees

01

01

0

18,210

of

of

118.210

o o

0

268,210

81

19

23 Any expense not otherwise

classified, such as program

services (attach itemized list)

24 Total Expenses

Add lines 14 throuah 23

0

1

0

0

12

01

0

2.031

11,650

100,592

Form 1023

Rev. 6-2006)


10/43

Form 1023 (Rev. 8-2000

Name;


EIN;

22 - 3979350

age

10

l I1Il Financial Da ta

(Continued)

B. Balance Sheet (for your most recently completed tax year)

Assets

1

Cash

2 Accounts receivable, net ..........................

3

nventories

4 Bonds and notes receivable (attach an itemized list) ................

5 Corporate stocks (attach an itemized list)

6. Loans receivable (attach an itemized list) ....................

7 Other investments (attach an itemized list) ...................

8 De preciable and dep letable assets (attach an item ized list) ..............

9

Land

10 Other assets (attach an itemized list) .......................

11

T otal As sets (ad d l ine s 1 throu gh 1 0) . . . .. . .. . .. . .. . ..

Liabilities

12 Accounts payable

13 Contributions, gifts, grants, etc. payable .....................

14 M ortgages a nd no tes paya ble (attach an itemized list) ...............

15 Other liabilities (attach an itemized list)

16

Total Liabilities (add lines 12 through 15)

Fund Balances or Net Assets

17

otal fund balances or net assets ......................

7

Year E n

2009

(Whole dollars)

I

0

0

0

0

0

0

0

0

0

0

11

a

0

0

0

15

Total Liabilities and Fund balances or Net Assets aad lines 16 and J .....I 18

0

19 Have there been any substantial changes in your assets or liabilities since the end of the period

es

l

No

shown above? If Yes, explain.

flWl

Public Charity Status

Part X is designed to classify you as a n organization that is either a private foundation or a public charity. Public charity status

Is a more favorable tax status than private foundation status. If you are a private foundation, Part X is designed to further

determine whether yo u are a private operating foundation. (See instructions.)

la Are you a private foundation? If Yes, go to line lb. If No, go to line 5 and proceed as instructed.

Yes

No

If you are unsure, see the instructions.

b As a private foundation, section 508(e) requires special provisions in your organizing document in

0

addition to those that apply to all organizations described in section 501(c)(3). Check the box to

confirm that your organizing document meets this requirement, whether by express provision or by

reliance on operation of state Jaw. Attach a statement that describes specifically where your

organizing document meets this requirement, such as a reference to a particular article or section in

your organizing document or by operation of state law. See the instructions, including Appendix 8,

for information about the special provisions that need to be contained In your organizing document.

Go to line 2.

2 Are you a private operating foundation? To be a private operating foundation you must engage

Yes

No

directly in the active conduct of charitable, religious, educational, and similar activities, as opposed

to Indirectly carrying out these activities by providing grants to individuals or other organizations. If

Yes, go to line 3. If No, go to the signature section of Part XI.

3 Have you existed for one or more years? If Yes, attach financial Information showing that you are a private 0 Yes

No

operating foundation; go to the signature section of Part A. if No, continue to line 4.

4 Have you attached either (1) an affidavit or opinion of counsel, (Including a written affidavit or opinion

0

Yes

No

from a certified public accountant or accounting firm with expertise regarding this tax law matter),

that sets forth facts concerning your operations and support to dem onstrate that you are likely to

satisfy the requirements to be classified as a private operating foundation; or (2) a statement

describing your proposed operations as a private operating foundation?

5 If you answered No to line la, indicate the type of public charity status you are requesting by checking one of the choices below.

You may check only one box.

The organization is not a private foundation because It is:

a 509(a)(1) and 170(b)(1)A)(i).-a church or a convention or association of churches. Complete and attach Schedule A.

l

b 509(a)(1) and 1 70(b)(1)(A)(ii)a school. Complete and attach Schedule B.

El

C

509(a)(1) and 170(b)(1)(A)(iii)a hospital, a cooperative hospital service organization, or a medical research

l

organization operated in conjunction with a hospital. Complete and attach Schedule C.

d 509(a)(3)an organization supporting either one or more organizations described in line 5a through c, f, g, or ft

or a publicly supported section 501 (c)(4), (5), or (6) organization. Complete and attach Schedule D.

Form

1023

Rev. 8-2006)


11/43

Form 1023 (Rev. 6-2006)

Name:


EIN:

22_3979350

age

11

F3 M

ublic Charity Status (Continued)

o 509(a)(4)an organization organized and operated exclusively for testing for public safety.

0

f 509(a)(1) and I 70(b)(1XA)(iv)

an organization operated fbrthe benefit of a college or university that is owned or

operated by a governmental unit.

g 509(a)(1) and 17 0(b)(1)(A)(vi)an organization that receives a substantial part of its financial support in the form

of contributions from publicly supported organizations, from a governmental unit, or from the general public.

509(a)(2)an organization that normally receives not more than one-third of its financial support from gross

investment income and receives m ore than one-third of Its financial support from contributions, mem bership

fees, and gross receipts from activities related to its exempt functions (subject to certain exceptions).

I A publicly supported organization, but unsure if it is described in 5g or 5h. The organization would like the IRS to

0

decide the correct status.

6 If you checked box g, h, or I in question 5 above, you must request either an advance or a definitive ruling by

selecting one of the boxes below. R efer to the instructions to determine which type of ruling you are eligible to receive.

a Request for Ad vance Ruling: By checking this box and signing the consent, pursuant to section 6501(c)(4) of

-

the Code you request an advance ruling and agree to extend the statute of limitations on the assessment of

excise tax under section 4940 of the Code. The tax will apply only if you do not establish public support status

at the end of the 5-year advance ruling period. The assessment period will be extended for the 5 advance ruling

years to 8 years, 4 months, and 15 days beyond the end of the first year. You have the right to refuse or limit

the extension to a mutually agreed-upon period of time or Issue(s). Publication 1035,

ExtendIng the Tax

Assessment Period, provides a more detailed explanation of your rights and the consequences of the choices

you make. You may obtain Publication 1035 free of charge from the IRS web site at wwwirs.gov

or by calling

toll-free 1-800-829-3676. Signing this consent will not deprive you of any appeal rights to which you would

otherwise be entitled. if you decide not to extend the statute of limitations, you are not eligible for an advance

ruling.

Consent Fixing Period of Limitations Upon Assessment of Tax Under Section 4940 of the Internal Revenue Code

For Organization

(Signature of Officer, Dfrecto Trustee, or other

(rype or print name of signer)

(Date)

authorized official)

(Fype or print title cc authority of signer)

For IRSRS Use Only

IRS Director, Exempt O,anlzatlons

(Date)

b Request for De finitive Ruling: Check this box if you have com pleted one tax year of at least 8 full months and

you are requesting a definitive ruling. To confirm your public support status,

answer

line 6b(i) If you checked box

g in line 5 above. Answer line 6b(il) if you checked box h in line 5 above. If you checked box 1 in line 5 above,

answer both lines 6b(i) and (ii).

(I) (a) Enter 2% of line 8, column (e) on Part IX-A. Statement of Revenues and Expenses.

(b) Attach a list showing the name and amount contributed by each person, company, or organization whose

0

gifts totaled more than the 2% amount. If the answer is None, check this box.

(ii) (a) For each year amounts are Included on lines 1, 2, and 9 of Part IX-A. Statement of Revenues and

Expenses, attach a list showing the name of and am ount received from each disqualified person. If the

answer is None, check this box.

0

(b) For each year amounts are included on line 9 of Part IX-A. Statement of Revenues and Expenses, attach

a list showing the name of and amount received from each payer, other than a disqualified person, whose

payments were more than the larger of (1) 1% of line 10, Part IX-A. Statement of Revenues and

Expenses, or (2) $5,000. If the answer is None, check this box.

El

r

Did you receive any unusual grants during any of the years show n on Part IX-A_ Statement of

0

Yes

No

Revenues and Expenses? If Yes, attach a list including the name of the contributor, the date and

amount of the grant, a brief description of the grant, and explain why it Is unusual.

Form

1023

(Rev. 6-2006)


12/43

Form 1023 (Rev. 6-2006)

Name:


EJN:

22 - 3979350

age 12

iiiii User Fee Information

Y ou m ust Include a user fee paym ent with this application. It will not be processed without your paid user fee.

If your average

annual gross receipts have exceeded or will exceed $10,000 annually over a 4-year period, you mustsubmIt payment of $750. If

your gross receipts have not exceeded or will not exceed $10,000 annually over a 4-year period, the required user fee payment

is $300. See instructions for Part XI, for a definition of

gross

receipts over a 4-year period. Your check or money order must be

made

payable to the United States Treasury.

User fees

are subject to change. Check our website at www.iArs.gov

and type User

Fee

in the keyw ord box, or call Custom er A ccount Services at 1-877-829-5500 f or current information.

1 Have your annual gross receipts averaged or are they expected to average not more than $10,000?

C]

Yes

71

No

If Yes, check the box on line 2 and enclose a user fee payment of $300 (Subject to changesee above).

If No, check the box on line 3 and enclose a user fee payment of $750 (Subject to changesee above).

2 Check the box if you have enclosed the reduced user fee payment of $300 (Subject to change).

0

3 Check the box if you have enclosed the user fee payment of $750 (Subject to change).

I declare under the penalties of

t

rized to sign this application on behalf of the above organization and that I have examined this

application, including the a

n

and attachments,

MDMON

best of my knowledge it Is true, correct, and complete.

lease

BRA ITh W AIT----

Here

Ct Ow or Trustee or other

(Type or print name of sJgnes) (Date)

a

d official)

PRESIDENT

(Type or print title or authority of signer)

Reminder.

Send the completed Form 1023 Checklist with your filled-in-application.

orm

1023

nv.6-oos)


13/43

ATTACHMENT TO FORM 1023 -

MN: 22-3979350

ONECAR1BBEAN FOUNDATION, INC.

146 SUSSEX ROAD

ELMONT, NY 11003

Response to Part I.S.

Ron Canton

9807 Seaview Avenue

Brooklyn, NY 11236

$800.00

Corporate Housekeeping, Board Governance and Training

Res

p

onse to Part IV:

One Caribbean Foundation, Inc. (the Organization ), is a New York Not for Profit

corporation. The Certificate of Incorporation was filed on M ay 19, 2008. T he Organization

adopted Bylaws, appointed directors and officers and authorized those directors to file this form

1023.

The Organization's

mission

is to organize and administer a charitable scholarship fund for

individuals of Caribbean heritage, to be used for educational and medical assistance. The

Organization also desires to provide grants for medical treatment of the sick; to solicit and receive

contributions from the general public and distribute such funds to other tax-exempt organizations

whose work is related to charitable efforts to promote education. The Organization's activities will

be initiated upon the receipt of contributions. It is expected that the Organization will incur basic

administrative and operational expenses.

The Organization's activities will be conducted from the Organization's office. The

activities will be carried on by the Board of Directors and the Officers of the Organization. It i

expected that as the Organization grows, the Board of Directors will also expand to include

individuals whose experience and community involvement will benefit the Organization and its

mission. The Board of Directors of the Organization will award the annual scholarship(s) based on

the criteria established and consistent with the financial needs of the particulate student recipient.

The Organization plans to establish and organize appropriate fund-raising efforts in order to attract

public funds for the annual award of scholarships. The awards are not limited to any group or class

of students. All qualified students requiring financial assistance will be considered.


14/43

ATTACHM ENT TO FO RM 1023 - EIN: 22-3979350

ONE CARIBBEAN FOU NDATION, INC.

146 SUSSEX ROAD

ELM ONT, NY 11093

Response to P art IY(continued):

In addition to the foregoing, the Organization also desires to embark on a program to train

and teach inner city underpr ivileged youth, the inner workings of a functional digital radio station

which is up and operational in the Bedford Stuyvesant neighborhood of Brooklyn, NY.

The President of One Caribbean Foundation, Inc., Edmon Braithwaite is also a co-founder

of One Caribbean Radio which was launched in October 2007 and is heard in New York, New

Jersey and C onnecticut. It is a digital radio station that broadcasts discussions, local news,

weather and information,, representing all ethnic groups, social and service organizations and other

segments of the community. It provides programming by live announcers including music from a

variety style format. One Caribbean Radio presents community information and hosts several

prominent political and business leaders of New York City.

One C aribbean Radio is the destination of choice for politicians eager to reach the 3

million plus Caribbean-American community of New York City.

Brooklyn District Attorney Joe Hynes and City Council members Bill de Blasio, Mathieu

Eugene, Letitia James and David Yassky have been on One C aribbean Radio shows, as has former

City Councilwoman Una Clarke. On one occasion, Brooklyn District Attorney Joe Hynes was at

St. Gregory's Catholic Church, which is located in the Crown Heights neighborhood of Brooklyn,

when the Reverend Caleb Buchanan, a native of St. Kitts, and Bishop Guy Sansaricq held a

special rededication ceremony and fund-raiser for the station.

Hynes said his monthly appearance on air at the station is very important, because it

allows me to talk about the programs we have in the office that have a substantial impact on

Caribbean countries and the Caribbean comm unity here.

The station fills a void in radio for Caribbean nationals created when WLIB AM 1190

became Air Americas flagship station two years ago. WUB has since become a 24-hour gospel

station. As such, the station hired many Caribbean disc jockeys and radio personalities, such as

Bob (Spiceman) Frederick, Ian (The Goose) Eligon and newsman Franklin (Bobby) Vieira. The


15/43

ATTACHMENT TO FORM 1023 -

MN: 22-3979350

ONE CARIBBEAN FO UNDATION, INC.

146 SUSSEX ROAD

ELMONT, NY 11003

Response to Part IY(continued):

station will be less about music and dancing and more about issues Caribbean-Americans are

facing here and abroad. M r. Braithwaite desires to expand the station's vision to eventually

include One Caribbean Television and 24 hour radio programming for and about the people and

the islands of the Caribbean.

One Caribbean Foundation, Inc. will use the resources of One Caribbean Radio, including

but not limited to, the experience and influence of its on a ir personalities, administrative staff,

invited celebrity, political, business and culturally influential guests

One Caribbean Foundation, Inc. desires to be a resource for the training in the area of

broadcasting, communications, and other areas related to the broadcast medium to provide

instruction and training of youth to develop sk ills as radio operators. The lawful public or quasi-

public objective which the Organization will achieve is to provide an opportunity, where there

may not be any, for individuals of modest means to learn the telecommunications business for

learning and job empowerment.

Specifically the main objectives of the Organization's youth program are as follows:

To provide twelve (12) weeks of technical hands on training in use of studio

equipment after which participants will have a working knowledge of radio

technology

To provide a twelve (12) week workshop in script writing communication skills, at

the end of which participants will be able to write, listen and speak critically and

effectively in areas of health, education and media

To provide a twelve (12) week mentoring and networking worksh op to enable

participants to apply concepts and m ethods shared at these sessions to effectively

assist in creating vocational opportunities; and

To provide internships to various media, health and education institutions. Focal

points of the internship are personal values, human diversity, multicultural

awareness and social responsibilities.


16/43



146 SUSSEX ROAD

ELMONT, NY 11003

Response to Part I V(continued):

In connection with achieving and embarking upon this exempt activity; One Caribbean

Foundation, Inc. has been awarded a $100,000.00 grant to be administered by the New York State

Office of Children & Family Services ( OCFS ). A copy of the award announcement letter dated

March 22, 2010, from Gladys Carrion, Esq., the Commissioner of OCFS, is attached.

All activities are governed by the Boa rd of Directors and a ll activities are implemented by

the officers. The Directors and Officers will devote over an average of 30 hours each week

towards planning events and imp1ethnting the Organization's mission and goals.

In furtherance of its mission, 'the Organization will devote its activities to identifying

participants, instructors, social care professionals and community volunteers and in obtaining

financial support for the Organization's community activities.

Again, the aforementioned activities will be conducted by the Organization's Officers and

Ddirectors. The Organization expects to carry out its exempt functions principally through

soliciting donations and grants that will help further its mission and objective.

The Organization seeks to be recognized as exempt from tax under Section

50 c) 3)

of

the Internal Revenue Code of1986,

as amended (the Code ), because it has been organized and

will be operated exclusively for charitable purposes as required by Section 501(c)(3), and its

assets will be permanently dedicated to its exempt purposes. The Organization's objectives fit

squarely with the definition of the term charitable because this objective serves the public

interest.

Res

p

onse to Part V Line la;

NAMES

ADDRESSES,

EDMON BRAITH WAITE

46 SUSSEX ROAD

ELMONT, NY 11003

CHARLES MOHAN

146 SUSSEX ROAD

ELMONT, NY 11003

MYRIE I3RAITH WAITE

146 SUSSEX ROAD

ELMONT,NY ((003

ANNUAL

TITLE

COMPENSATION

DIRECTOR & NONE

PRESIDENT

DIRECTOR & NONE

TREASURER

DIRECTOR & NONE

SECRETARY


17/43

ATTACHMENT TO FORM

1023 - EIN: 22-3979350


136 SUSSEX ROAD

ELMONT NY 11003

Res

p

onse to Part V Line 2a:

Edition Braithwaite and Myrie Braithwaite are husband and wife.

Response to Part V Line 3a

Name:

Qualifications:

Average Hours Worked:

Duties:

Edmon B raithwaite

Co-founder and radio personality at One Caribbean Radio serving

NY, NJ and CT. M ember of the Bedford-Stuyvesant Chamber of

Comm erce. Co-chair of the local business improvement district.

See attached biography.

As needed

Director and President

Name:

Charles Mohan

Qualifications:

College Professor. See attached resume.


s needed

Duties:

Director and Treasurer

Name:

Myrie Braithwaite

Qualifications: NYS R egistered Nurse. See attached resume.


s needed

Duties:

Director and Secretary

The Board of Directors:

etermines the organization's mission and purposes. Select the

executive staff. Provide ongoing support and guidance 'for the

President and performance review. Ensure effective organizational

planning. Determine and monitor the organization's programs and

services.

The President:

Presides at all meetings and is the Chief Executive Office.

The Secretary:

Keep or cause to be kept regular and correct minutes of the

Board proceedings; responsible for giving and serving all notices of

the corporation, and performs all duties customarily incident to the

office of the secretary, including those assigned from time to time

by the Board; prepare or cause to be p repared and monitor all

requests for funding, including but not limited to gran t proposals,

appeals, newsletters and brochures.


18/43



146 SUSSEX ROAD

ELM ONT, NY 11003

The Treasurer:

Keep or cause to be kept complete and accurate accounts of

receipts and disbursements, and shall deposit or cause to be

deposited all monies and other valuable instruments of the

organization in the nam e and to the credit of the

organization in such banks, brokerages, or depositories as

the Board may designate; render a statement of the

organization's accounts at the annual meeting of the Board

and whenever required; exhibit the organization's books

and accounts to any officer or director of the corporation

upon reasonable advance request.

Res p

onse to Part V Line 5a

The Conflict of Interest Policy was approved by resolution of the Board of Directors.

Response to Part VIII Line 4a

The organization will primarily seek to obtain financial support as follows:

Fundraising Events: These include a ctivities such as workshop fees, tickets for

performances and performance fees and symposiums.

Grant Writing:

ubmitting funding proposals to foundations, corporations and

government agencies.

Direct Appeals:

ritten and oral appeals to individuals and groups.

The Organization will primarily seek to obtain financial support from private corporations,

federal and state governmental agencies, individual patrons, through written solicitations and fund

raising events, and from foundations and other not-for-profit organizations.

The Organization plans to solicit funds by direct verbal and written requests, including

grant proposals, to private corporations, federal and state governmental agencies, individual

patrons, private foundations arid public charities. The Organization also intends to contact other

not-for-profit organizations for financial support.


19/43

ATTACHMENT

TO FORM 1023 - EIN: 22-3979350

ONE CARIBBEAN FOU NDATION, INC.

146 SUSSEX ROAD

ELMONT, NY 11003

At the present time, the Organization has not engaged a professional fundraiser to solicit

contributions. Further, the Organization is not planning to engage a professional fundraiser to

solicit contributions.

Res

p

onse to Part VIII Line 4d

We fundraise in the state of New York for our own organization


20/43


21/43

ATTACHMENT TO FORM 1023 - EIN: 22-3979350


146 SUSSEX ROAD

ELMONT,NY 11003

Response to Part IX Financial Data, Line 20, Occupancy (rent, utilities, etc.):

2011

Utilities..............................................................................................

Telephone..........................................................................................

TOTAL.............................................................................................

Res

p

onse to Part IX, Financial Data, Line 22 Professional Fees:

2011

1,500.00

450.00

1,950.00

David Skeete Accounting ($1,000.00 is the Organization's share of this Expense).............3,000.00

Donna's Cleaning Service ....................................................................................................1,500.00

BugsAway Exterminating ....................................................................................................1,000.00

TOTAL.................................................................................................................................

5,500.00

Res

p

onse to Part IX. Financial Data,

Line 23, Other Expenses:

2011

OfficeFurniture/Chairs .............................................................................................................100.00

OfficeSupplies .........................................................................................................................200.00

JanitorialSupplies ...................................................................................................................200.00

ClassroomMaterials ...............................................................................................................

750.00

KitchenSupplies .....................................................................................................................200.00

Foodand Beverages ....................................................... . ....................................................... 6,000.00

MetroCards (Public transportation

for

18 students for 3 days per month )...........................1,600.00

Teleconferencing......................................................................................................................100.00

PublicRelations Marketing ................................................................................................... 2,500.00

TOTAL...............................................................................................................................11,650.00


22/43

V5

,

A

i

O

n 10;1

pi

Mr. Edmon Braithwaite is an entrepreneur with a passion for serving people and comm unity.

He currently serves as Board C hairman of the Bedford Stuyvesant Gateway Business District. This

position allows him and his team to create strategies for the re-development of the historic community

of Bedford Stuyvesant as the business hub of Central Brooklyn and environs.

As part of his wider vision for serving the Caribbean Diaspora community and beyond, he co-founded

and serves as C hairman of On e Caribbean Ra dio, originally a weekend station, located at Restoration

Plaza, which has now taken a quantum leap to twenty-four hour, seven-day programming on WSKQ 97.9

HD2 He also owns and operates other business enterprises in the Bedford Stuyvesant area.

Mr. Braithwaite's strength of character and discipline can be attributed to both parental strictness and

his training at the R oyal Military Academy (Sandhurst) in Great Britain, where the motto is

Serve to

Lead.

His entrepreneurial spirit and business acum en are as a result of a wide and va ried career path

including District Manager of Staples, the world's largest office products compan y, and Pep Bo ys Auto, a

multi-billion-dollar, nationwide, auto retail and service chain.

Mr. Braithwaite's formal education began in Georgetown, Guyana at the prestigious Queens College and

concluded at Bay State College in the USA.

Mr. Braithwaite, Guyanese by birth, is married with two Sons and a daughter.

Restoration Plaza, 1360 Fulton Street, Brooklyn, NY 11216

Telephone: 718-622-1081 / Fax: 347-461-3631 / em ail: [email protected]

www.onecaribbeanradio.com


23/43

C1IARLES H. MOHAN

Residence: (212)289-864

Currk.rulurn V itae

Cellular: (917) 6974142

1245 Park Avenue, Apt. # 6)

New York; NY 10123

LABOR RELATIONS PROFESSLONAUADJIJNCT

PROFESSOR/MANAGEMENT

- gaulaoLcom

Passionate educator

and

labor relations professional seeking to return

to a

position as an

adj4nct

professor teaching labor relations,

political science or ethnic studies cnriicnlwn in w hich

extensive

experience and edentiaJs will facilitate the leatning process.

Recognized as a proactive participant, lender and advisor for many labor initiatives and political campaigns for cudidntes seeking

political office on

the City and State levels. Accomplishments include the development a nd implementation oftrining programs with

an emphasis on education.

Also, experienced in managem ent and supervision,

that

resulted in

maximizing

productivity. Managed family

ovltied

businesses and

held supervisory positions at other places of employment.

EDUCATION/CERTIFICATIONS

New School fbr Social Research- M .A., Political

Science, 1982

City University of New York- ILA., Ethnic

Studies

and Inter-cultural Relations, 1980

City College of New York- 8.A., Afro-American

Studies,

1979

Manhattan Community

College- A.A.,

Liberal

Arb, 1978

Certificate of Completion,

New York State AFL-CIO Worker's Compensation Navigation Program, 21004

PROFESSIONAL EXPERIENCE -

LABOR RELATIONS

UNITED STATES CENSUS BUREAU (January 2009 to pceseiit)

Partnership

Specialist: Building partnerships with businesses, unions, schools, faith based grotps, community based

organizations etc., in ordar for everyone living in the USA to be counted in the 2010 census

UNITED STATES CENSUS B UREAU (January 2008-May 2008)

Senior Field Representative:

Supervised Odd representatives conducting housing survey (January 2008-May 2008)

Responsibilities included: reviewing work, conducted observations of field representatives and reported to the

main

office,

attended weekly meetings to suategize on completing the survey on time and

withiq

the budget,

reviewing payroll, liaison

between field representatives and central office.

FEDERATION OF MULTI CULTURAL PRO GRAMS (January 2007-March 2007)

Human Resource Coordinator:

Reviewed job applications, scheduled security cleerance for applicants, verifIed references,

scheduled trainings, reviewed grievances and attended grievance meetings with the HR manager and rewrote the Personnel

Policy and Procedures.

DISTRICT COIJ'NClL 1707, CSAI3U, AFSCME, AFL-CIO, 1991-2004

Director of Research (2002-2004)

Acting Director of Research (2002)

Staff Representative (1996-2002)

Staff Organizer (1991-1996)

Established two computer

labs

and a library in collaboration with the D.C. 1707 Director of Education.

Led multiple workshops on C onflict Resolution, Communication, Violence Prevention, and Child Abuse.

Developed and implemented w ith the Director of Education, online Associate, Bachelor, and Masters Programs in early

Childhood Education with the University of Cincinnati. Supervised cross-fluictionat clerical staff members.

instituted a research department

in

collaboration with the Education Departznel7;.

Negotiated collective bargaining agreements and represented members in Day care, Head Start and S ocial Service

Programs.

Organized mem berships and serviced shops in the

areas of grievance and medltion.

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24/43

Cant(suied.

CHARLES fl. MOIL4N

Curriculum V itae, 'Page 2 of 3

PROFESSIONAL EXPERIENCE-

TEACHING

BOROUGH OF MANHATTAN COMMUNITY COLLEGE, New York, NY

Adjunct

Lecturer; f211

2007, spring 2008, summer 2008,

fall 2008,

spring 2009

Teach A merican Government

an introductory course to politics

in

the United States. We examined the American political

system from colonial times to present, while focusing on U.S. governmental institutions and the process of political decision-

making.

EMPIRE STATE COLLEGE/NYNEX CORPORATE COLLEGE PROGRAMS, New York, NY

Instructor, Spring Program, 1997

Taught Theories cf the L abor iWov emani

thar allowed students to, compare and contrast theories of the labor movement by

different ideological groups, and its application to

the present struggle of the labor movexnunt.

fnstructor, Summer Program, 1997

Taught

Citizens Participation

where students participated

in

various political campaigns, and learned the tactics, strategies

and process of political campaigns in relation to the November

1997

elections in New York City.

BOROUGH OF MANHATTAN COMMUNITY COLLEGE, New York, NY

Assistant to Dr. Lewis Howard, Instruction and Tutoring, Fall 1990-SprIn 1991

Taught

The

Black Man in

Coazeniparary&,ciaty w here

students examined the effects of economic and social factors on

socialization, status and levels of achievement amongst Slack men. Other arena of analyses included the impact

of

institutional racism and underachievement on urbanized populations.

MAYORS

OFFICE, New YcrX NY

Instructor Safe

Street-Safe City Program, June 1991

Historical Profiles:

Thmuiliarized students with the contributions of African-American leaders of the

20th

cennuy; examining

the social and political conditions that impel Black men and Women to accept leadership roles

in the struggle for &tcdom

from

politiuI, racial, social, economic discrimination and exploitation.

Black M ale/female R elationship: held weekly panel discussions with ISO male youths, four days a week.

ST. )OSEPHS COLLEGE, BROOKLYN CAMPUS, Brooklyn, NY

Adjunct Professor,

Pall 1990

Taught Programs and Resources in Aging where students examined goverzmwnt and private programs and resources in aging

at

national,

state,

and local levels. Emphasis was given to income maimiteiiannis, housing, crime prevention, nutrition, and

adult day care.

Course

addressed political and

fiscal

realities, and future trends.

CONFERENCE/SPEAKER ENGAGEMENTS

Naiionolifssociofionj'or the Education of Y oung Children (N .4EY C)

Conference.

A naheim, CA 2001

Co-Presented

with Raglan George, Jr. Director Care/Head Start, on Quality, Compensation and Affordability. Presentation

focused on, the positive impact of unionized child care and head Start workers in their fight for respect, dignity, job

protection, health benefits, quality child care and higher wages.

W azionoj Associa:lon for the Education

of Y oung Children N.4EYC)

Conference. Atlanta, GA 2000

Co-Premated

with Joyce Long AFSCME's Women Rights Dept., on Quality, Compensation and Affordability.

Presentation focused on,

Child Care and Read S tart Unions: Ov ercoming B arriers Ip Q uality Cart

Keynote Speaker, Convocation Exercise, Borough of

Manhattan Community ColI4ge (192)

iO/t 'O JBci I?4AW )flc(

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25/43

Coisilnued.

C}IARLES IL MOLIA)J

Curriculum V itae Page 3of 3

PROGRAM DEVELOPMENT/EVENT ORGANIZING

Counselor, Daily News/CUNY, C itizenship Now Project, April, 2004

Representative/Event

Coordivator, Million Worker March, Event held at

the Lincoln Memorial, attended by 75,000

people, 2004.

Representative/Event

Coordinator, New York City Central Labor C ouncil's Organizing Committee for the Immigrant

Worker's Freedom Ride. Event held at Flushing Meadows, attended by 100,000 people, 2003.

Event Planner:

teamed with the D irector of Education to organize the D.C. 1707 W omen's Conference, 1994.

).

PROGRAM

FACILITATION/PUBLIC RELATIONS

Radio Comme ntator an One Caribbean hosted

by Bob FrederwksF Bobby Vipira, WSNR, 620 AM. 2007-2008

provided live commentary

and took listeners

calls

during

this

weekly radio talk show

that discussed political, labor and issues

that affect the Caribbean community at home and abroad.

Radio Comm entator

On

Caribbean

iii Five, hosted by

Bevan Springer, WUB, 1190 AM, 2004-2006.

Provided live commentary and took listeners calls during this weekly five-hour talk show to discuss labor, political, and

tourism issues

impacting the Caribbeanand United States economic climates.

Radio Commentator on The Danny

uRd Harry Show WKDM , 1380 AM. 2001.1

Provided

live

commentary on issues affecting Guyana, the Caribbean and the

rest of

the world.

Workshop Facilitator: conducted three workshops

for

administrators, teachers and par-protessionals, at the

Schenectady

City School

District, Superintendent's Conference

Day,

March 28,2008, titled The Guyanese Student.

Workshop Facilitator: conducted workshops

ar

Head Starr, Day Care

and

Social Service centers, 2003-2004 Curriculums:

Conflict Resolution, Comm unication, Child Abuse, and

Violence

Prevention

Workshop

Facilitator. Teaching Fellow at intense three-day training workshop for new organizers at the AFL-CIO's

Organizing Institute, 1997, 1999, and 2001.

Workshop

Facilitator: led Shop Steward training programs; authored articles for newsletter. 1995-2004.

>

COMMlTEE INVOLVEMENT/LEADERSHIP

Member

Community Board ii (Manhattan) 2003-2008

President,

CSA8 Federal

Credit

Union, 1999-2008

Member, imm igrapt Sub-Coinwittee,

New York Central Labor Council, 2000-2404

Advisor/Assessor, External Diploma Program, 1999-2003

Chairperson,

D.0 1707 Pension Fund Trustees, 2000.2002

Trustee, D.C.

1707 Pension Fund, 1997-2002

Teaching Fellow,

AFL-CIO's Organizing institute, 1997, 1999, and 2001.

Board Member, CSAE Federal Credit Union, 1998-1999

D.C. 1707 Representative,

Long island Federation of

Labor,

1991-1994

Extensive list of additional committee involvement,

lectures, and

awards provic at time of meeting

SO/SO 30Vd

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nTn7167./Jn


26/43

MYTtLE C.

RR LT HW AITE, RN, IJSN, MS

146 Sussex Road

Ernortt.1'W 11003

516 328 7402 / mbroith277wl.cuin

SUM M

A RY

RN since 1981 (RN in U.S. ,incs 1987), with managerial, instructional,

rasricetirig/outreach, and clinical experience

it Adult and Pediatric/Neonatal

Medicnl-Strgicai, Critical Care,

Maternal-Child 1eaIfh,

Community Health,

and .inbulatory care in hospital, clinic, ned home settings

WfPhlebottsrny. F.KG/Dysrhythmia, PR1, and BLS certifieat.ioe.,

New

York RN ihensure; proficient with

electronic documentation/computers

KPEtlIENCE

1991 to .

mpire St.tte Homecare 3ervicea(VNAB,

New York, NY

Clfnieal Mazuge.riField Snpervicor, Empire 05102 to prea.

Manage

clinical

operations in a certhied home health agency

providing

(cute as well as chronic long-tcrin care (Medicnre/redicare mn:dmiaattonl

Hire, schedule.

supervise, evaluate, and in

eri'ic/orient. professional and

onciflai7

stiff

members

Perform intake

)

assign/manage up to 160 cas, and review

485/0ASIS/PPS documentation, and make joint visits for incidents, patient

relations, and incident Investigation/reporting; provide direct care for

complicated cases and training demonstration purposes

Made rounds to

perform on-site intake (as

wefl as

phone screening) as

well

as marketirigloutreach to hospital discharge planners and senior

community groups/nursing theiiitie

Prepare fur- and interact with inspectors during successful JCAHO and

CMS surveys; 'responded to corrective active recommendations with

plans/presentations

Participate as member of Long Term Coalition (attending intercompany

meetings for industry issues)

Serve as

member of VNA

.

wide outcome-bused

QI

(013(I) team, examining

adrse even;s from OASTS to improve acrdces; Identified

necessity for

CR1 clinical pathway and nssesament tool to effectively manage disease

(purchased weight scales to decrease hospital re..udcnisslons)

Servo as member of Pt Committees (on clinjcnt'admmnlstrntive indicators);

developed coordination communication tool now adopted thraughout VNA

Nurse Coordinator

/CaseManager, Long Tenn Care. VNA (6/97 5;02)

Performed duties cimibr to above in a Lombardi program providing long-

term care for patients with thronie conditions; supervised HHAs to

manage

up

o

130 eases, Including coordinating interdisciplinary teams to

(lev4np.'updatC goals and make 120-day Medicaid reassesomente

Field Nur.ceiCixirdizmatcr of Care, VNA (10/91 to 0 7)

a Served as

ae

Manager for homebound patients with acute and chronic

comv

j

itions requiring IV therapy/infusion, CAPD ostomy/wound rare,

and

xtsnsiv diabetes and other education to promote self-care

IfJ89 to 1991

ublic FTealth Nurse, Maternal-Child

Health Bureau of Maternity

Services and Family Planning, Brooklyn, NY

Servcd as Team Leader in Cace Management, performing medical and

TO

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27/43

MYHLE C. Z3RAXThWIUTE, RN,

} S N ,

MS

XERLENCE

co's

p6yehooc iaI assessments In hone and Clinic auttings to pcvide n&ut care

and counseling to ensure adequate

prenatal care as well as well. child care

and fa mily planning/HIV prevention

Managed or provided ventBat.or, tracheustomie, hetnodynamc

rnwlitring.

We, central linea, tube

feeding, ch zuott

apy/dhilyeis

monitoring, pain

managem ent, wound core, isolation, a4d

cxL

nhIIva

patient-family tea,.ibfng

1987 to 1989

taff RN, Pediatric l?loat -

SUNY Downstate Cniver5ity Hospital,

Brooklyn, NY

Served as Primary R N/Charge Nurse and direct dare provider, floating to

p dt

grjo

Mc calScgical and

Pediaric/Nonutal ICU, supervising

professional and ancillary staff member s caring for pediatric patients

with

cardiac, oncology,

respiratory, diabate; renal, A IDS,

TEWInI'ectious

disease, orthopedic, nouro, and other acute end critical condi1ona

Managed

or

provided ventilators, trachaostornies, hexnadynarnic

monitoring, tVs, central lines, tube

teeding,ehernotherapy/diatyaia

monitoring,

pain management, ostoiny/wound

caxe, itolatnn, and

extensive paieutfmnily

teaching

1986

to 1987

3tcLttBN, M edical-Surgical -

1Lmmersmith Iiaspit.al, London, UK

Served as f'rixaaxy RN, caring for patients with cardiac, oncology, CVA.

COPD, diabetas, ESRD, AIDS, psychiatric. OB-GYN, and other conditions

wPxtTATrnN

Member, Guyanese Nurses Association

EIJTJCA1'ION

2001

Central M ichigan Univ ara1ty,

Brooklyn, NY

Received MS

degree

in Health

Care Administration

Research Topic: The

Negative

Impact of RI'S on the Delivery of Home

Health Services

1$9

Medgr Evers College,

Brooklyn, Nit

Rec*mivad BSN degree

ffAnuuertiinitb Hospital,

London,

England, UK

Received Nursing Diploma; passed CGFNS (1986) and .LWILEX

(1987)

St. Vncent'a Orthopedic ospital,

?ilidcitesex, England, UK

Received Orthopedic Nursing CetUicte

CERTI'IcATION/IRAIMNG

IIEIOC McI(naeon None

Care Pathway software training (2000)

PRI Screen rtification (1993)

IV

Therapy

(1993)

Orthopedic Nursing tertificntlon (1981)

Uddavnees will be humlahod

u p a requcat.

3

I

c's,:

n

i.r

.r t:-t-:

,.-

-----


28/43

Form 1023 (Rev.

62006)

flame:


EIN

22 - 3979350

iga 20

Schedule E. Organizations Not Filing Form 1023 Within 27 Months of Formation

Schedule E is intended to determine whether you are eligible for tax exemption under section 501(c)(3) from the postmark date

of

your application or from your date of

Documents

2010 One Caribbean Exempt App Redacted