2010 One Caribbean Exempt App Redacted

Form
1023
(Rev. June 2006)

Deparmiant of the Treasuiy
Interred Revenue Serce
Application for Recognition of Exemption
OMB No.
Note:
Under Section 501(c)(3) of the Internal Revenue Code
1t
If exe
s tatus
for public
will be open
inspection.
Use the instructions to complete this application and for a definition 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
ONE CARIBBEAN FOUNDATION, INC.
3 Mailing address (Number and street) (see instructions)
do
Name (if applicable)
EDMUN BRAIThWAITE
Room/Suite 4 Employer Identification Number
22-3979350
146 SUSSEX ROAD

City or town, state or country, and ZIP + 4
ELMONT, NY 11003
6 Primary contact (officer, director, trustee, or authorized representative)
a Name: EDMUN BRAITHWAITE
5 Month the annual accounting period ends (01-12)

12
b Phone:
516.424.6408
c Fax: (optional)
516.616.1317
7 Are you represented by an authorized representative, such as an attorney or accountant? If "Yes,"

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.
El.
Yes
12] No
8 Was a person who is not one of your officers, directors, trustees, employees, or an authorized
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.
(2] Yes
U No
10 Certain organizations are not required to file an information return (Form 990 or Form 990-EZ). If you [J Yes
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
(2] No
9a Organization's website:
b Organization's email: (optional)
11 Date incorporated if a corporation, or formed, If other than a corporation. (MM/DD/YYYY)

12 Were you formed under the laws of a foreign country?
If "Yes." state the country.
For Paperwork Reduction Act Notice, see page 24 of the instructions.
05 I 19 /
DYes
Cat. No. 17133K
is
is
application
Form 1023
2008
12INo
(Rev. 6-2006)
Name: ONE CARIBBEAN FOUNDATION, INC.

Form 1023 (Rev. 6-2006)
EIN: 22 3979350
page 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
of filing with the appropriate state agency. Include copies of any amendments to your articles and
be sure they also show state filing certification.
No
2 Are you a limited liability company (LLC)? if "Yes," attach a copy of your articles of organization showing
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.
Yes
No
3 Are you an unincorporated association? If "Yes," attach a copy of your articles of association,
constitution, or other similar organizing document that is dated and Includes at least two signatures.
Include signed and dated copies of any amendments.
Yes
JJ No
4a Are you a trust? If "Yes," attach a signed and dated copy of your trust agreement. Include signed
0 Yes 2J No
and dated copies of any amendments.
b Have you been funded? If "No," explain how you are formed without anything of value placed in trust.
El Yes 0 No
5 Have you adopted bylaws? If "Yes," attach a current copy showing date of adoption. If "No," explain lJ Yes
0 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 meets 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 complete 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
you rely on operation of state law for your dissolution provision and indicate the state:
I11Thk'A Narrative Description of Your Activities
jJ
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.
"
-
Compensation and Other Financial Arrangements With Your Officers, Directors, Trustees,
Employees, and Independent Contractors
la List the names, titles, and mailing 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 what to include as compensation.
Name
I Title
Mailing address
Compensation amount
(annual actual or esUm
SEE ATTACHMENT
Form 1023 (Rev. 6-2006)
CIN: 22_3979350
Compensation and Other Financial Arrangements With Your Officers, Directors, Trustees,
Employees, and Independent Contractors (Continued)
Form 1023 (Rev. 6-2006)
Page
b List the names, titles, and mailing addresses of each of your five highest compensated employees who 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. Do not include officers, directors, or trustees listed in line la.
Name
Title
Mailing address
(annual actual or est m;
NIA
c List the names, names of businesses, and mailing addresses of your five highest compensated Independent contractors
that 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.
Name
Title
Mailing address
Compensation amount
(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
No
m Yes
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 employees or
Yes
No
highest compensated independent 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 Independent contractors listed on lines 1a, 1b, or 1c, attach a list showing their name,
qualifications, average hours worked, and duties.
b Do any of your officers, directors, trustees, highest compensated employees, and highest
Yes
No
compensated independent 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 common
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 independent contractors listed on lines 1 a, 1b, and 1c, the
following practices are recommended, 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?
m Yes
b Do you or will you approve compensation arrangements in advance of paying compensation?
Yes
c Do you or will you document in writing the date and terms of approved compensation arrangements? 121 Yes
No
No
No
Form 1023 (Rev. 6-2006)
Form 1023 (Rev. 6-2006)
Name: ONE
CARIBBEAN FOUNDATION, INC.
IEIN: 22 _3979350
Page 4
on and Other Financial Arrangements With Your Officers, Directors, Trustees,

and Independent Contractors (Continued)
d Do you or will you record in writing the decision made by each individual who decided or voted on
Yes
compensation arrangements?
e Do you or will you approve compensation arrangements based on information about compensation paid by 121 Yes
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 will you record in writing both the information on which you relied to base your decision
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 employees, 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
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.
0 No
0 No
Yes
0 No
Yes
0 No
Yes
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 recommended though It is not required to obtain exemption.
Hospitals, see Schedule C, Section I, line 14.
6a Do you or will you compensate any of your officers, directors, trustees, highest compensated employees,
and highest compensated Independent contractors fisted in lines la, Ib, or Ic through non-fixed
payments, such as discretionary bonuses or revenue-based payments? If TMYes," 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
1 or will 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
$50 000 per year, 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 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 what to include as compensation.
El
No
DYes
21 No
7a Do you or will you purchase any goods, services, or assets from any of your officers, directors,
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 will 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.
0 Yes
Zl No
b Do you or will you sell any goods, services, or assets to any of your officers, directors, trustees,
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.
0 Yes
121 No
8a Do you or will you have any leases, contracts, loans, or other agreements with your officers, directors, 0
trustees, highest compensated employees, or highest compensated independent contractors listed in
lines 1 a, 1 b, or 1 c? If "Yes," provide the information requested in lines 8b through 8f.
Yes
I?'] No
0 Yes
123 No
b Describe any written or oral arrangements that you made or intend to make..
c Identify with whom you have or will 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
which any of your officers, directors, or trustees are also officers, directors, or trustees, or in which
any individual officer, director, or trustee owns more than a 35% interest? If "Yes, provide the
information requested In lines 9b through 9f.
Form
1023
(Rev. 6-2006)

EIN: 22_ 3979350
Form 1023 (Rev. 6-2006)
IlilWI Compensation and Other Financial Arrangements With Your Officers, Directors, Trustees,
Employees, and independent Contractors (Continued)
Page
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 terms are or will be negotiated at arm's length.
o Explain how you determine or will 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 arrangements.
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 you provide goods, services, or funds to individuals? If
"Yes," describe each program that provides goods, services, or funds to individuals.
b in carrying out your exempt purposes, do you provide goods, services, or funds to organizations? If
"Yes." describe each program that provides goods, services, or funds to organizations.
2 Do any of your programs limit the provision of goods, services, or funds to a specific individual or
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 programs have a family or
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
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
were legally formed? If "Yes," complete Schedule E.
171 Yes
0 No
171 Yes
U No
IJ Yes
121 No
0 Yes
12] No
Li Yes
12] No
0 Yes
No
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
17] No
2a Do you attempt to influence legislation? If "Yes," explain how you attempt to influence legislation
and complete line 2b. If "No," go to line 3a.
b Have you made or are you making an election to have your legislative activities measured by
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.
0 Yes
121 No
0 Yes
LI No
3a Do you or will you operate bingo or gaming activities? If "Yes," describe who conducts them, and
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.
0 Yes
121 No
b Do you or will you enter Into contracts or other agreements with individuals or organizations to
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.
IJ Yes
121 No
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)

ITThTAHI Your Specific Activities (Continued)
Form 1023 (Rev. 6-2006)
EIN:
22 3979350
Page
4a Do you or will you undertake fundraising? If "Yes," check all the fundraising programs you do or will Z Yes
conduct. (See instructions.)
0 mail solicitations
121 phone solicitations
121 email solicitations
0 accept donations on your website
121 personal solicitations
[1 receive donations from another organization's website
0 vehicle, boat, plane, or similar donations
121 government grant solicitations
121 foundation grant solicitations
121 Other
Attach a description of each fundraising program.
0 No
b Do you or will you have written or oral contracts with any Individuals or organizations to raise funds
for you? If "Yes," describe these activities. Include all revenue and expenses from these activities
and state who conducts them. Revenue and expenses should be provided for the time periods
specified in Part IX, Financial Data. Also, attach a copy of any contracts or agreements.
Yes
[2] No
Yes
12] No
U]
Yes
No
0
0
Yes
[21 No
Yes
[2] No
7a Do or will persons other than your employees or volunteers develop your facilities? If "Yes," describe U] Yes
each facility, the role of the developer, and any business or family relationship(s) between the
developer and your officers, directors, or trustees.
[2] No
Do you or Will you engage in fundraising activities for other organizations? If "Yes," describe these
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 contributor under which the contributor has
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 written materials provided to donors.
5 Are you affiliated with a governmental unit? If "Yes," explain.
6a Do you or will you engage in economic development? If "Yes," describe your program.
b Describe in full who benefits from your economic development activities and how the activities
promote exempt purposes.
b Do or will persons other than your employees or volunteers manage your activities or facilities? If
"Yes," describe each activity and facility, the role of the manager, and any business or family
relationship(s) between the manager and your officers, directors, or trustees.
DYes IZJNo
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 more 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 companies
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.
DYes 12INo
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.
El Yes 12lNo
b Do you provide 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).
DYes 0 N
c Of the children for whom you provide child care, are 85% or more 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).
DYes [I No
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 El No
10 Do you or will you publish, own, or have rights in music, literature, tapes, artworks, choreography,
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
Yes
No
1023 pev. 6-2006)

EIN: 22- 3979350
Porn) 1023 (Rev. 6-2006)
I11I1III Your Specific Activities (Continued)
11 Do you or will you accept contributions of: real property conservation easements; closely held
[3 Yes
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
12d. If "No," go to line 13a.
b Name 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.
Page
J No
[3 Yes
2J
No
13a Do you or will you make grants, loans, or other distributions to organization(s)? If "Yes," answer lines [3 Yes
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
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.
0 Yes
(ii) Do you require a grant proposal? if "Yes," describe whether the grant proposal specifies your
IJ Yes
responsibilities and those of the grantee, obligates the grantee to use the grant funds only for the
purposes fur which the grant was 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.
ZJ
No
14a Do you or will you make grants, loans, or other distributions to forelgri l organizations? If "Yes,"
answer lines 14b through 14f. If "No," go to line 15.
b Provide the name 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 organization listed in line 14b accept contributions earmarked for a specific country
or specific organization? If "Yes," list all earmarked organizations or countries.
d Do your contributors know that you have ultimate authority to use contributions made to you at your
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
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.
Do you or will you use any additional procedures to ensure that your distributions to foreign
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.
121 No
0
0
No
No
Yes
0 No
Yes
Yes
[3 No
Yes
No
C]
Yes
El
No
1023
(Rev. 6-2006)
Form
No
Form 1023 (Rev. 6 .2006)
Name:
jN:22-3979350
15 Do you have a close connection with any organizations? If
Page 8
No
16 Are you applying for exemption as a cooperative hospital service organization under section
501(e)? If "Yes," explain.
17 Are you applying for exemption as a cooperative service organization of operating educational
oraanizations under section 501(1)? If "Yes." exolain.
18 Are you applyingfor exemption as a charitable risk pool under section 501
[3 Yes
121 No
0 Yes. 12) No
Dyes
121 No
0 Yes
21 Do you or will you provide low-income housing or housing for the elderly or handicapped? If
0 Yes
"Yes," complete Schedule F.
22 Do you or will you provide scholarships, fellowships, educational loans, or other educational grants to 0 Yes
individuals, including grants for travel, study, or other similar purposes? If "Yes," complete
Schedule H.
Note: Private foundations may use Schedule H to request advance approval of individual grant
procedures.
12) No
19 Do you or will you operate a school? If "Yes," complete Schedule B. Answer "Yes," whether you
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.
Form
121 No
0 No
1023 (Rev. 6-2006)

Form 1023 (Rev. 6-2006)
EIN: 22_3979350
Page 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
(a) From.
(b)
To ...j?!9.Q.
To
I Gifts, grants, and

contributions received (do not
include unusual grants)
2 Membership 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
including the value of services
generally furnished to the
public without charge)
L.
Current tax year
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
Add lines 10 through 12
14 Fundraising expenses
15 Contributions, gifts, grants,
and similar amounts paid out
(attach an itemized list)
3 prior tax years or 2 succeeding tax years
...l
!PI.J
(c) From-----------(d)
To
To
01
118,210
of
of
118.210
of
of
01
...111i... I
(a) ProvideTotaj for

(a) through (d)
268,210
16 Disbursements to or for the

benefit of members (attach an
itemized list)
,, 17 Compensation of officers,
directors, and trustees
81
19
0
0
23 Any expense not otherwise
classified, such as program
services (attach itemized list)
24 Total Expenses
Add lines 14 throuah 23
01
12,
11,650
92.031
100,592
Form 1023 (Rev. 6-2006)
Name; ONE CARIBBEAN FOUNDATION, INC.

EIN; 22 - 3979350
Form 1023 (Rev. 8-2000
Page 10
lI1Il Financial Data (Continued)
Year En& 2009
B. Balance Sheet (for your most recently completed tax year)
(Whole dollars)
Assets
I
0
1 Cash .................................
0
2 Accounts receivable, net ..........................
0
3 Inventories ..............................
0
4 Bonds and notes receivable (attach an itemized list) ................
0
5 Corporate stocks (attach an itemized list)
0
6. Loans receivable (attach an itemized list) ....................
0
7 Other investments (attach an itemized list) ...................
0
8 Depreciable and depletable assets (attach an itemized list) ..............
0
9 Land ................................
0
10 Other assets (attach an itemized list) .......................
11
Total Assets (add lines 1 through 10) .................
11
Liabilities
a
12 Accounts payable
0
13 Contributions, gifts, grants, etc. payable .....................
0
14 Mortgages and notes payable (attach an itemized list) ...............
0
15 Other liabilities (attach an itemized list)
Total Liabilities (add lines 12 through 15)
16
Fund Balances or Net Assets
17
17 Total fund balances or net assets ......................
Total Liabilities and Fund balances or Net Assets aad lines 16 and "J .....I 18 1
15
0
19 Have there been any substantial changes in your assets or liabilities since the end of the period
Yes
El No
shown above? If "Yes," explain.
IflWl Public Charity Status
Part X is designed to classify you as an 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 you 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.
If you are unsure, see the instructions.

b As a private foundation, section 508(e) requires special provisions in your organizing document in
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
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.
Yes
I No
0
Yes
3 Have you existed for one or more years? If "Yes," attach financial Information showing that you are a private 0 Yes
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
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 demonstrate 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?
Yes
0 No
No
No
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.
Cl
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
El
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
0
or a publicly supported section 501 (c)(4), (5), or (6) organization. Complete and attach Schedule D.
Form
1023
(Rev. 8-2006)

Public Charity Status (Continued)
Form 1023 (Rev. 6-2006)
F3t.
M
EIN: 22_3979350
Page 11
0
0
o 509(a)(4)an organization organized and operated exclusively for testing for public safety.
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 170(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 more than one-third of Its financial support from contributions, membership
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
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. Refer to the instructions to determine which type of ruling you are eligible to receive.
a Request for Advance 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.
0
0-
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

authorized official)
(rype or print name of signer)
(Date)
(Fype or print title cc authority of signer)
For IRS Use Only
IRS Director, Exempt O,anlzatlons
(Date)
b Request for Definitive Ruling: Check this box if you have completed 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
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 amount received from each disqualified person. If the
answer is "None," check this box.
(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
Did you receive any unusual grants during any of the years shown on Part IX-A_ Statement of
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.
Yes
0 No
Form 1023 (Rev. 6-2006)
Name: ONE
Form 1023 (Rev. 6-2006)
CARIBBEAN FOUNDATION, INC.
EJN:
22 - 3979350
Page
12
iiiii User Fee Information

Y ou must Include a user fee payment 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 keyword box, or call Customer Account Services at 1-877-829-5500 for current information.
1 Have your annual gross receipts averaged or are they expected to average not more than $10,000?
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).
3 Check the box if you have enclosed the user fee payment of $750 (Subject to change).
I declare under the penalties of
application, including the a
Please
Here
ad official)
171 No
0
orized to sign this application on behalf of the above organization and that I have examined this
and attachments,
best of my knowledge it Is true, correct, and complete.
MDMON BRAITh
Ct Ow or Trustee or other
C] Yes
WAIT----
(Type or print name of sJgnes)
(Date)
PRESIDENT
(Type or print title or authority of signer)
Reminder. Send the completed Form 1023 Checklist with your filled-in-application.
Form 1023 nv.6-oos)
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
Response to Part IV:
One Caribbean Foundation, Inc. (the "Organization"), is a New York Not for Profit
corporation. The Certificate of Incorporation was filed on May 19, 2008. The 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.
ATTACHMENT TO FORM 1023 - EIN: 22-3979350

146 SUSSEX ROAD
ELMONT, NY 11093
Response to Part IY(continued):
In addition to the foregoing, the Organization also desires to embark on a program to train
and teach inner city underprivileged 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 Connecticut. 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 Caribbean 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 Caribbean 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 community 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
ATTACHMENT TO FORM 1023 - MN: 22-3979350

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. Mr. 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 air 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 skills as radio operators. The lawful public or quasipublic 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 workshop to enable
participants to apply concepts and methods 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.

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 Board of Directors and all 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.
Response to Part V Line la;
ANNUAL
COMPENSATION
NAMES
ADDRESSES,
TITLE
EDMON BRAITH WAITE
146 SUSSEX ROAD

ELMONT, NY 11003
DIRECTOR & NONE

PRESIDENT
CHARLES MOHAN
146 SUSSEX ROAD

ELMONT, NY 11003
DIRECTOR & NONE

TREASURER
MYRIE I3RAITH WAITE
146 SUSSEX ROAD

ELMONT,NY ((003
DIRECTOR & NONE

SECRETARY

136 SUSSEX ROAD
ELMONT,NY 11003
Resp onse to Part V Line 2a:
Edition Braithwaite and Myrie Braithwaite are husband and wife.
Response to Part V Line 3a
Average Hours Worked:

Duties:
Edmon Braithwaite
Co-founder and radio personality at One Caribbean Radio serving
NY, NJ and CT. Member of the Bedford-Stuyvesant Chamber of
Commerce. Co-chair of the local business improvement district.
See attached biography.
As needed
Director and President
Name:
Qualifications:
Duties:
Charles Mohan
College Professor. See attached resume.
As needed
Director and Treasurer
Name:
Qualifications:
Duties:
Myrie Braithwaite
NYS Registered Nurse. See attached resume.
As needed
Director and Secretary
The Board of Directors:
Determines 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 prepared and monitor all
requests for funding, including but not limited to grant proposals,
appeals, newsletters and brochures.
Name:
Qualifications:

146 SUSSEX ROAD
ELMONT, 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 name 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.
Response 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 activities such as workshop fees, tickets for
performances and performance fees and symposiums.
Grant Writing:
Submitting funding proposals to foundations, corporations and

government agencies.
Direct Appeals:
Written 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.

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.
Resp onse to Part VIII Line 4d
We fundraise in the state of New York for our own organization

146 SUSSEX ROAD
ELMONT, NY 11003
Response to Part IX, Financial Data, Line 20, Occupancy (rent, utilities, etc.):
2010
Utilities...................................................................................................................................1,200.00
Telephone.................................................................................................................................. 342.00
TOTAL.................................................................................................................................1,542.00
Response to Part IX, Financial Data, Line 22, Professional Fees:
2010
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
Response to Part LX, Financial Data, Line 23, Other Expenses: (2010)
VideoProjector ........................................................................................................................750.00
Printer/Copier ..........................................................................................................................450.00
OfficeFurniture/Chairs ............................................................................................................300.00
MicrowaveOven ......................................................................................................................150.00
OfficeSupplies .......................................................................................................................800.00
JanitorialSupplies ...................................................................................................................600.00
ClassroomMaterials ...............................................................................................................750.00
KitchenSupplies .....................................................................................................................400.00
Food and Beverages ($950.00 is the Organization's share of this Expense).........................5,150.00
MetroCards (Public transportation for 18 students for 3 days per month ) ............................ 1,458.00
Teleconferencing........................................................................................................................80.00
PublicRelations Marketing ........ . ........................................................................................... 2,000.00
TOTAL.................................... . ........................................................................................... 12,888.00
'Equipment and Supplies Expense Detail from the Contract Application, as submitted to, and
approved by the New York State Office of Children and Family Services, Bureau of Contract
Management, Legislative Grants, Administration Unit.

146 SUSSEX ROAD
ELMONT,NY 11003
Response to Part IX Financial Data, Line 20, Occupancy (rent, utilities, etc.):
2011
Utilities..............................................................................................
Telephone..........................................................................................
1,500.00
450.00
TOTAL.............................................................................................
1,950.00
Response to Part IX, Financial Data, Line 22 Professional Fees:

2011
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
Response 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
0iOFgt pi 1
I
V5 , A
"!n"A,
;10;1
Mr. Edmon Braithwaite is an entrepreneur with a passion for serving people and community.
He currently serves as Board Chairman 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 Chairman of One Caribbean Radio, 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 Royal Military Academy (Sandhurst) in Great Britain, where the motto is Serve to
Lead. His entrepreneurial spirit and business acumen are as a result of a wide and varied career path
including District Manager of Staples, the world's largest office products company, and Pep Boys 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 / email: ocradmin@gmail.com
www.onecaribbeanradio.com
C1IARLES H. MOHAN
Residence: (212)289-864
Currk.rulurn V itae
Cellular: (917) 6974142
1245 Park Avenue, Apt. # 6)

New York; NY 10123
- gaulaoLcom
LABOR RELATIONS PROFESSLONAUADJIJNCT PROFESSOR/MANAGEMENT
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 which 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 and implementation oftrining programs with
an emphasis on education.
Also, experienced in management 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 BUREAU (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 PROGRAMS (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 Conflict Resolution, Communication, Violence Prevention, and Child Abuse.
Developed and implemented with 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 Social Service
Programs.
Organized memberships and serviced shops in the areas of grievance and medltion.
9/EO 3SVd
11,AAI.J
TCJ0Tn7r7
07rr 0Tfl7IO7I0
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 American 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 decisionmaking.
EMPIRE STATE COLLEGE/NYNEX CORPORATE COLLEGE PROGRAMS, New York, NY
Instructor, Spring Program, 1997
Taught Theories cfthe Labor iWovemani 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 where 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 Male/female Relationship: 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

with
Raglan
George,
Jr.
Director
Care/Head
Start,
on
"Quality,
Compensation and Affordability." Presentation
Co-Presented
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."
Wazionoj 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 Start Unions: Overcoming Barriers Ip Quality Cart
Keynote Speaker, Convocation Exercise, Borough of Manhattan Community ColI4ge (192)
iO/t'O JBci
I?4AW )flc(
TccOTlr7Y7
Coisilnued.
C}IARLES IL MOLIA)J
Curriculum V itae Page 3of 3

PROGRAM DEVELOPMENT/EVENT ORGANIZING
Counselor, Daily News/CUNY, Citizenship 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 Council'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 Director of Education to organize the D.C. 1707 Women's Conference, 1994.
). PROGRAM FACILITATION/PUBLIC RELATIONS
Radio Commentator 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 Commentator 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.
11
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, Communication, 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, immigrapt 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
OOehcN TIR
.ttFRt1RZt7.
qz:tr nTn7167./Jn
I
MYTtLE C. RR&LTHW AITE, RN, IJSN, MS
146 Sussex Road
Ernortt.1'W 11003
516 328 7402 / mbroith277wl.cuin
SUMMA RY
RN since 1981 (RN in U.S. ,incs 1987), with managerial, instructional,
rasricetirig/outreach, and clinical experience
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
it
KPEtlIENCE
1991 to .
IfJ89 to 1991
TO
Vd
Empire 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/Case Manager, Long Tenn Care. VNA (6/97 5;02)
Performed duties cimibr to above in a Lombardi program providing longterm 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 07)
a Served as (ae Manager for homebound patients with acute and chronic
comvjitions requiring IV therapy/infusion, CAPD ostomy/wound rare, and
xtsnsiv diabetes and other education to promote self-care
Public FTealth Nurse, Maternal-Child Health - Bureau of Maternity
Services and Family Planning, Brooklyn, NY
Servcd as Team Leader in Cace Management, performing medical and
:)N
1Nvi
r-r-
MYHLE C. Z3RAXThWIUTE, RN, } SN, MS

XERLENCE co's&
p6yehoociaI 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
management, wound core, isolation, a4d cxLa nhIIva patient-family tea,.ibfng
1987 to 1989
Staff RN, Pediatric l?loat - SUNY Downstate Cniver5ity Hospital,

Brooklyn, NY
Served as Primary RN/Charge Nurse and direct dare provider, floating to
p dtgrjo Mc&calScgical and Pediaric/Nonutal ICU, supervising
professional and ancillary staff members 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
13tcLttBN, Medical-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
wPxtTA TrnN
Member, Guyanese Nurses Association
EIJTJCA1'ION
2001
Central Michigan Univara1ty, 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
.LW ILEX
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
3'.I
c's,: n i.r
.r't:-t-:
upa
requcat.
,.- -----
(1987)
flame: ONE CARIBBEAN FOUNDATION, INC.

EIN 22 - 3979350
Riga 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 incorporation or formation, whichever is earlier. It you are not eligible for tax exemption
under section 501 (c)(3) from your date of incorporation or formation, Schedule E is also intended to determine whether you are
eligible for tax exemption under section 501(c)(4) for the period between your date of incorporation or formation and the
postmark date of your application.
Form 1023 (Rev. 62006)
0 Yes
I Are you a church, association of churches, or integrated auxiliary of a church? If "Yes," complete
Schedule A and stop here. Do not complete the remainder of Schedule E.
0 Yes
0 No
0 No
0 Yes
0 Yes
0 No
0 Na
0 Yes
0 No
0 Yes
0 No
0 Yes
0 No
0 Yes
0 No
0 Yes
0 No
2a Are you a public charity with annual gross receipts that are normally $5,000 or less? If "Yes," stop
here. Answer "No" if you are a private foundation, regardless of your gross receipts.
b If your gross receipts were normally more than $5,000, are you filing this application within 90 days
from the and of the tax year in which your gross receipts were normally more than $5,000? If "Yes,"
stop here.
IZJ Yes
3a Were you included as a subordinate in a group exemption application or letter? If "No,' go to line 4.
b If you were included as a subordinate in a group exemption letter, are you filing this application
within 27 months from the date you were notified by the organization holding the group exemption
letter or the Internal Revenue Service that you cease to be covered by the group exemption letter? It
"Yes," stop here.
c If you were included as a subordinate in a timely tiled group exemption request that was denied, are
you filing this application within 27 months from the postmark date of the Internal Revenue Service
final adverse ruling letter? If Yes," stop here,
4 Were you created on or before October 9, 1969? If "Yes," stop here. Do not complete the remainder
of this schedule.
5 If you answered "No" to lines I through 4, we cannot recognize you as tax exempt from your date of
formation unless you qualify for an extension of time to apply for exemption. Do you wish to request
an extension of time to apply to be recognized as exempt from the date you were formed? If "Yes,"
attach a statement explaining why you did not file this application within the 27-month period. Do not
answer lines 6, 7, or S. If "No," go to line 6a.
6a if you answered "No" to line S. you can only be exempt under section 501 (c)(3) from the postmark
date of this application. Therefore, do you want us to treat this application as a request for tax
exemption from the postmark date? If "Yes," you are eligible for an advance ruling. Complete Part X,
line 6a. If "No," you will be treated as a private foundation.
Note. Be sure your ruling eligibility agrees with your answer to Part X, fine 6.
Do you anticipate significant changes in your sources of support in the future? If "Yes," complete
tine 7 below.
IZJ No
Form
1023 (Rev. 8-2006)

EIN: 22 - 3979359
Page 21
Schedule E. Organizations Not Filing Form 1023 Within 27 Months of Formation (Continued)
7 Complete this item only if you answered "Yes to line fib. Include projected revenue for the first two full years following the
current tax year.
Form 1023 Rev. 6'2006)
name:
Type of Revenue
Projected revenue for 2 years following current tax year.

(b) From .............. (c)Total
(a) From ..............
To
To
I Gifts, grants, and contributions received (do

not _include _unusual _grants)
2 Membership 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 including
the value of services generally furnished to the
public without charge)
T . 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
II Net gain or loss on sale of capital assets
(attach _an_itemized _list)
12 Unusual grants
113 Total revenue.Add lines 10 through 12
8 According to your answers, you are only eligible for tax exemption under section 501(c)(3) from the
postmark date of your application. However, you may be eligible for tax exemption under section
501(c)(4) from your date of formation to the postmark date of the Form 1023. Tax exemption under
section 501(c)(4) allows exemption from federal income tax, but generally not deductibility of
contributions under Code section 170. Check the box at right if you want us to treat this as a
request for exemption under 501(c)(4) from your date of formation to the postmark date.
Attach a completed Page 1 of Form 1024, Application for Recognition of Exemption Under Section
501(a), to this application.
Form
1023
(Rev. 6.2006)
ON: 22 3979350
rtame: ONE CARIBEAN FOUNDATION, INC.
Pqo 25
s-ocs
Schedule H. Organizations Providing Scholarships, Fellowships, Educational Loans, or Other Educational
Grants to individuals and Private Foundations Requesting Advance Approval of Individual Grant Procedures E!TtII Names of individual recipients are not required to be listed In Schedule H.
Public chanties and private foundations complete lines I through 7of this section. See the
Instructions to Part X if you are not sure whether you are a public charity or a private
foundation.
Firm 1023 tftv.
individuals, such as scholarships, fellowships, loans, etc.

b Describe the purpose and amount of your scholarships, fellowships, and other educational grants and loans that you
award.
o If you award educational loans, explain the terms of the loans (interest rate, length, forgiveness, etc.).
d Specify how your program Is publicized.
o Provide copies of any solicitation or announcement materials.
f Provide a sample copy of the application used.
la Describe the types of educational grants you provide to
2 Do you maintain case histories showing recipients of your scholarships, fellowships, educational
loans, or other educational grants, including names, addresses, purposes of awards, amount of each
grant, manner of selection, and relationship (if any) to officers, trustees, or donors of funds to you? if
"No," refer to the Instructions.
121
0 No
Yes
3 Describe the specific criteria you use to determine who is eligible for your program. (For example, eligibility selection
criteria could consist of graduating high-school students from a particular high school who will attend college, writers of
scholarly works about American history. etc.)
4a Describe the specific criteria you use to select recipients. (For example, specific selection criteria could consist of prior
academic performance. financial need, etc.)
b Describe how you determine the number of grants that will be made annually.
c Describe how you determine the amount of each of your grants.
d Describe any requirement or condition that you impose on recipients to obtain, maintain, or qualify for renewal of a grant.
(For example,, specific requirements or conditions could consist of attendance at a four-year college, maintaining a certain
grade point average, teaching in public school after graduation from college, etc.)
5 Describe your procedures for supervising the scholarships, fellowships, educational loans, or other educational grants.
Describe whether you obtain reports and grade transcripts from recipients, or you pay grants directly to a school under
an arrangement whereby the school will apply the grant funds only for enrolled students who are In good standing. Also,
describe your procedures for taking action if the terms of the award are violated.
6 Who is on the selection committee for the awards made under your program, including names of current committee
members, criteria for committee membership, and the method of replacing committee members?
0 Yes
7 Are relatives of members of the selection committee, or of your officers, directors, or substantial
contributors eligible for awards made under your program? if "Yes," what measures are taken to
ensure unbiased selections?
121 No
Note. If you are a private foundation, you are not permitted to provide educational grants to disqualified
persons. Disqualified persons include your substantial contributors and foundation managers and
certain family members of disqualified persons.
fltTIlI Private foundations complete lines Ia through 4f of this section. Public charities do not
complete this section.
Yes
No
la If we determine that you are a private foundation, do you want this application to be
considered as a request for advance approval of grant making procedures?

b For which section(s) do you wish to be considered?
4945(g)(l)Scholarship or fellowship grant to an individual for study at an educational institution
4945(g)(3)Other grants, including loans, to an individual for travel, study, or other similar
purposes, to enhance a particular skill of the grantee or to produce a specific product
2 Do you represent that you will (1) arrange to receive and review grantee reports annually
and upon completion of the purpose for which the grant was awarded, (2) Investigate
diversions of funds from their intended purposes, and (3) take all reasonable and
appropriate steps to recover diverted funds, ensure other grant funds held by a grantee
are used for their Intended purposes, and withhold further payments to grantees until you
obtain grantees' assurances that future diversions will not occur and that grantees will
take extraordinary precautions to prevent future diversions from occurring?
3 Do you represent that you will maintain all records relating to individual grants, including
Information obtained to evaluate grantees, identify whether a grantee Is a disqualified
person, establish the amount and purpose of each grant, and establish that you
undertook the supervision and Investigation of grants described in line 2?
-
0 N/A
0
0
0 Yes
0 No
0 Yes
0 No
Form
1023
(Rev. 6-2008)
ONE CARIBBEAN FOUNDATION, INC. EIt'P 22_ 3979350

P,196 26
Schedule H.OrganlzatIons Providing Scholarships, Fellowships, Educational Loans, or Other Educational
Grants to Individuals and Private Foundations Requesting Advance Approval of Individual Grant Procedures
(Continued)
V-tiT1t771lI Private foundations complete lines la through 4f of this section. Public charities do not
complete this section. (Continued)
Form 1023 tRev. 6.2006l
4a Do you or will you award scholarships, fellowships, and educational loans to attend an
educational institution based on the status of an individual being an employee of a
particular employer? It "Yes," complete lines. 4b through 4f.
b Will you comply with the seven conditions and either the percentage tests or facts and
circumstances test for scholarships, fellowships, and educational loans to attend an
educational institution as set forth in Revenue Procedures 76-47, 1976-2 C.B. 670, and
80-39, 1980-2 C.B. 772, which apply to Inducement, selection committee, eligibility
requirements, objective basis of selection, employment, course of study, and other
objectives? (See lines 4c, 4d, and 4e, regarding the percentage tests.)
c Do you or will you provide scholarships, fellowships, or educational loans to attend an
educational institution to employees of a particular employer?
If "Yes,' will you award grants to 10% or fewer of the eligible applicants who were
actually considered by the selection committee in selecting recipients of grants in that
year as provided by Revenue Procedures 76-47 and 80-39?
d Do you provide scholarships, fellowships, or educational loans to attend an educational
Institution to children of employees of a particular employer?
If "Yes," will you award grants to 25% or fewer of the eligible applicants who were
actually considered by the selection committee in selecting recipients of grants in that
year as proliided by Revenue Procedures 76-47 and 8039? If "No,' go to line 4e.
0 Yes
12! No
l2IYes
El Ne
DYes
No
ON/A
DYesN
0
0 Yes
0 Yes
o If you provide scholarships, fellowships, or educational loans to attend an educational

0 Yes
institution to children of employees of a particular employer, will you award grants to 10%
or fewer of the number of employees' children who can be shown to be eligible for grants
(whether or not they submitted an application) in that year, as provided by Revenue
Procedures 76-47 and 80-397
!ZINa
0
ON/A
No
0 No
N/A
If "Yes," describe how you will determine who can be shown to be eligible for grants
without submitting an application, such as by obtaining written statements or other
Information about the expectations of employees' children to attend an educational
institution. If "No,' go to line 4f.
Note. Statistical or sampling techniques are not acceptable. See Revenue Procedure
85-51, 1985-2 C.B. 717, for additional information.
I If you provide scholarships, fellowships, br educational loans to attend an educational
institution to children of employees of a particular employer without regard to either the
25% [Imitation described in line 4d, or the 10% limitation described in line 4e, will you
award grants based on facts and circumstances that demonstrate that the grants will not
be considered compensation for past, present, or future services or otherwise provide a
significant benefit to the particular employer? if "Yes,' describe the facts and
circumstances that you believe will demonstrate that the grants are neither compensatory nor a significant benefit to the particular employer. In your explanation, describe why you
cannot satisfy either the 25% test described in line 4d or the 10% test described in line 4e.
0 Yes
0 No
Form
1023
(Rev. 6-2006)
Schedule H - Attachment
Attachment to Form 1023 - FAN: 22-3979350

146 SUSSEX ROAD
ELMONT;NY 11093
Response to Schedule H. Section 1. Line I & Line ib:

The purpose of the One Caribbean Foundation, Inc. (the "Organization")
scholarship program is to contribute towards the charitable, community related purposes
of the Organization and to contribute or administer scholarship awards at the discretion of
the Board of Directors.
The Organization will award selected individuals, especially young adults in high
school or college and 501 (c)(3) organizations, as set forth in the narrative to this Form
1023 application.
In connection with an essay award and also an academic award that the Board of
Directors of the Organization envisioned, the awardees will be (1) winners of an Essay
Contest and (2) selected graduating senior students having academic and leadership
accomplishments. Awardees who are "selected graduating senior students" will be
determined by the Board of Directors and Officers of the scholarship program, after
consulting with and receiving recommendations from the candidates' school principals
and teachers.
The scholarship awards will be gifts towards tuition costs and or reasonable costs
of living allowances in an amount and frequency as funding permits. The Organization's
objective is to fund at least one deserving student's full or partial tuition and or living
expenses per year. The Organization will provide copies of its scholarship application to
public high schools and community centers and to all interested students and their
families. It is expected that a broad range of eligible recipients will be made aware of the
applications. All information contained in the scholarship application shall be kept
confidential by the Organization. At this time, the Board of Directors of the Foundation
has not determined the amount of the awards.
Response to Schedule H. Section 1. Line le:
The Foundation will not award educational loans.
.1
Response to Schedule H. Section 1. Line id:

The Foundation's award programs will be publicized at its events.
'Sehethile H - Attachment
Attachment to Form 1023 - EIN: 22-3979350
146 SUSSEX ROAD
ELMONT,NY 11003
Response to Schedule H. Section 1. Line le:
Announcement material is included in the sample award application. A sample copy of
an application is attached.
Response to Schedule H. Section 1. Line lf
A sample copy of an application is attached.
Response to Schedule B. Section 1. Line 3:
Please refer to the Response to Schedule H. Section 1. Line I a & Line lb.
Response to Schedule H. Section 1. Line 4a:
Please refer, to the Response to Schedule H. Section 1. Line I & Line lb.
Response to Schedule if. Section 1. Line 4b and Line 4c:
The Treasurer of the Foundation will advise the Board of Directors what funds are
available for awards. The Board of Directors will determine the distribution of the
award.
Response to Schedule II. Section 1. Line 4d:
At this time, the Board of the Directors have not considered a renewal of any award.
However, the Board of Directors will consider reviewing an awardee's new application.
Schedule H - Attachment
Attachment to Form 1023 - ELN: 22-3979350
146 SUSSEX ROAD
ELMONT,NY 11003
Response to Schedule FL Section 1. Line 5:
Respecting the present and future scholarship plans of the Foundation, respecting
scholastic and academic awards, and not merit based awards in connection with
community and charitable activity and recognition, it is contemplated that recipients of
scholastic and academic awards, will be required to be students enrolled or about to be
enrolled in an accredited college, university and/or trade school and in good-standing,
making satisfactory progress toward an undergraduate degree or certification (as
applicable), maintaining a full or part-time course load and a 2.5 minimum overall Grade
Point Average. A current copy of the student's transcript will be required and will be
maintained on tile in the office of the Foundation. The Foundation will develop
procedures for taking appropriate action in the event the grant terms are violated.
Response to Schedule H. Section 1. Line 6
The Board of Directors of the Foundation is also the Award Selection Committee
for the awards made by the Foundation. The names of the current Award Selection
Committee members are Edmon Braithwaite, Charles Mohan and Myrie Braithwaite.
The Organization is developing and reviewing procedures to establish the criteria for
Award Selection Committee Membership and also for expanding the Award Selection
Committee. The procedure for selecting and replacing Award Selection Committee
members is as follows: Any newly created vacancies on the Award Selection Committee
arising at any time and from any cause may be filled at any meeting of the Board of
Directors by a majority of the directors then in office, and the Award Selection
Committee member so elected will serve until the next annual meeting of the Board of
Directors.
...f
DRAFT APPLICATION
OF
THE ONE CARIBBEAN FOUNDATION, INC. SCHOLARSHIP AWARD
We hereby announce the establishment of The One Caribbean Foundation, Inc. Scholarship A ward. The Scholarship shL
cover the cost of full or partial tuition at an accredited college, university or trade school and related living expenses for t1
2010-201 Isemesters.
The Scholarship
The award is a year scholarship in the amount of $______________________ per year ($_______________ pc)
semester. The Scholarship is renewable for each of the student's sophomore, junior and senioryears, if applicable, without
application, contingent upon the student being in good standing at a college, university, or trade school making satisfactory
progress toward an undergraduate degree or certification and maintaining a full or part-time course load. The student must
maintain a minimum overall grade point average as applicable of 2.5.
Eligibility
The applicant must be eligible for admission to an accredited college, university or trade school and must be classified as
enrolled in the Pall to receive this award.
The selection committee shall give preference to those applicants who have demonstrated a strong sense of community and
active leadership participation in urban community affitirs. The selection committee may consider scholarship, leadership and
other factors in making its selection. The committee shall determine the relative weight given to each criterion. There are no
restrictions to applicants based on sex, race and nationality, country of origin, physical disability, veteran status, or sexual
orientation.
Recipients of the award shall not forfeit other scholarships, grants, or awards to which they are entitled. However, if a
recipient applies for financial aid, the amount of the award may be used in calculating the total amount of aid for which the
student is eligible.
Instructions:
1.
Please type or complete the application form in ink. Complete each item.
2.
Apply and be accepted for admission to an accredited college, university or trade school.
3.
Recipients will be notified within
The application form must be received or postmarked by
5.
Recipients must accept The One Caribbean Foundation, Inc. Scholarship Award by
,2010
weeks of the Fund's determination.

2010.
Personal Information
Name
(Last)
(First)
(Middle)
Social Security Number_____________________________
Birth Date____________________
Permanent Address
Local Address
Street/P.O. Box_____________________________
City/State
Phone (D)
Street/P.O. Box_______________________
City/State
Phone (D)
(N)_____________
High School:
Grade Point Average:
(Preferred)
Graduation Date:________________
scale
on a
High School Equivalency (GED) Date:

When will you enter [college/university/trade schoolj (Month/Year)?
Have you applied for admission?
Yes[ ]
No [
Have you been accepted for admission?
Yes [ ]
No [ J
Verbal score:
Math score:
Intended major or field of study:

SAT total or ACT composite score (as applicable):
Are you available for an interview in the New York City area?
Yes[ ]
No { ]
'I
High school and or recent extracurricular activities:
Leadership and community positions held by applicant:
Awards or honors received by applicant:
Employment History - - Please list current employer first.

Company
City
State___________________
Position
____Supervisor_________________________________
From/To
Hours per %veek_______________________
0 Summer Work
Year Round
Responsibilities
Company
City_
State__________________
Position
Supervisor'
From/To
Hours per week_____________________________
0
0
Summer Work
Year Round
Responsibilities
3.
'...
Company
City
State__________________
Position
Supervisor_____________________________________
FromlFo
Flours per week________________________
o Summer Work
Year Round
o
Responsibilities
Will you work while attending college/university/trade school?
Yes [ }
No [ J
Uncertain [ }
List Name(s) of parent(s) and occupation(s):
List brother(s)/sister(s) and age(s):
Please list the institutions where you have sent applications

Institution
city_
State____________________
Institution
City
State_____________________
Institution
City
State_____________________
Have you previously received any education scholarship?

O Yes
o No
If so, when?
Are you self-supporting?
o Yes
o No
If no, do you receive financial support from (check all that apply)
o
o
O
o
Parents
Spouse
Ex-Spouse
Other
What percentage of your college/school expenses do you plan to pay?

4
Please list all sources of financial aid which you W ill receiv in the 2003 academic year (i.e. scholarship, grants, student 10;
work-study programs, etc.):
In the space below, and on additional sheets if necessary, please tell us why you should be awarded this
scholarship.
I certify the above information is correct. I authorize the Scholarship Fund to verify any information noted
herein. I furthermore agree to release any information concerning my academic records for the administration
of the scholarship program.
Signature
RETURN THIS APPLICATION PACKET WITH OFFICIAL TRANSCRIPT(S) AND TWO LETTERS
OF RECOMMENDATION POSTMARKED BY
TO:
146 SUSSEX ROAD
ELMONT, NY 11003
ATTENTION:
THE ONE CARIBBEAN FOUNDATION, INC. SCHOLARSHIP AWARD
ATTACHMENT TO FORM 1023 * EIN: 22-3979350

146 SUSSEX ROAD
ELMONT, NY 11003
RECORD RETENTION REQUIREMENTS
DESCRIPTION OF RECORDS
MANNER OF
RECORD KEEPING
DiSPOSiTION
Scholarship applications
Compile & tile records on

yearly basis
Three Years. Store with

scholarship records. Destroy
after three years.
Scholarship recipient
information, including
names, addresses and school
Compile & file applications

on yearly basis. Add names
to list of past recipients. List
should include names,
addresses, school attending
when scholarship received,
and year in which scholarship
received.
Permanent. List of past

recipients should be kept in
corporate record book.
Additional information
including complete
applications should be filed
in a permanent scholarship
information file
Compile & file records on

yearly basis.
Three Years. Store with

scholarship records. Destroy
after three years
Selection committee records,

including selection criteria
used and other
documentation regarding the
selection process
N. Y. S. DEPARTMENT OF STATE
DIVISION OF CORPORATIONS AND STATE RECORDS
ALBANY, NY 12231-OOC
FILING RECEIPT
ENTITY NAME: ONE CARIBBEAN FOUNDATION INC.

DOCUMENT TYPE: INCORPORATION (NOT-FOR-PROFIT)
TYPE: B COUNTY: NAS
FILED: 05 1 19 / 2008 DURATION:PERPETtJAL CASH#:080519000123 FILM #:68059000113

FILER:
EXIST DATE
SPIEGEL & UTRERA P.A. P.C.

1 MA IDEN LANE, 5TH FLOOR
05/19/2 008
NEW YORK, NY 10038

ADDRESS FOR PROCESS:
THE CORPORATION
1 MAIDEN LANE STE FLOOR
NEW YORK, NY 10038
.' *
REGISTERED AGENT:
SPIEGEL & UTRERA, P. A. , L4-: 0
1 MA IDEN LA NE, STH FLOOR:
NEW Y ORK, NY
10038
\
' "tLNT C) ,
====
=============- = = = = ======= = ======- == = = = == = == ========- = = = ======= =
SERVICE COMPANY: LAWRENCE J. SPIEGEL
SERVICE CODE: G6
'EES
100.00
ILING
kx
RT
)PIES
.NDLING
75.00
0.00
0.00
0.00
25.00
PAYMENTS
--
0.00
CASH
0.00
CHECK
0.00
CHARGE
100.00
DRAWDOWN
0.00
OPAL
0..00
REFUND.
= ===== = ===== ======-================== = =======- ==
DOS-1025 (04/2007)
Form 1023
Checklist
(Revised June 2006)
U.1
i'1YS OFFCE
(r
Application for Recognition of Exemption under Section 501(c)(3) of the

Internal Revenue Code
TL'c
Note. Retain a copy of the completed Form 1023 in your permanent records. Refer to the General Instructions
regarding Public Inspection of approved applications.
IZJ Assemble the application and materials in this order:

Form 1023 Checklist
Form 2848. Power of Attorney and Declaration of Representative (if filing)
Form 8821, Tax Information Authorization Of filing)
Expedite request (if requesting)
Application (Form 1023 and Schedules A through H, as required)
Articles of organization
Amendments to articles of organization in chronological order
Bylaws or other rules of operation and amendments
Documentation of nondiscriminatory policy for schools, as required by Schedule B
Form 5768, Election/Revocation of Election by an Eligible Section 501 (c)(3) Organization To Make
Expenditures To Influence Legislation (if filing)
All other attachments, including explanations, financial data, and printed materials or publications. Label
each page with name and EIN.
[J User fee payment placed in envelope on top of checklist. DO NOT STAPLE or otherwise attach your check or
money order to your application. Instead, just place it in the envelope.
LZI Employer Identification Number (EIN)

I Completed Parts I through XI of the application, including any requested information and any required
Schedules A through H.
You must provide specific details about your past, present, and planned activities.
Generalizations or failure to answer questions in the Form 1023 application will prevent us from recognizing
you as tax exempt.
Describe yourpurposes and proposed activities in specific easily understood terms.
Financial information should correspond with proposed activities.
IZI Schedules. Submit only those schedules that apply to you and check either "Yes" or "No" below.
Schedule A Yes_ No v(
Schedule E Yes - No ....L
Schedule B Yes_ No.1...
Schedule F Yes -No .1..
Schedule C Yes_ No.L
Schedule 0 Yes_ No.1..
Schedule 0 Yes_ No
Schedule H Yes. No_
I/'-
An exact copy of your complete articles of organization (creating document). Absence of the proper purpose
and dissolution clauses is the number one reason for delays in the issuance of determination letters.
Location of Purpose Clause from Part Ill, line 1 (Page, Article and Paragraph Number) _ PAGE 1, ARTICLE 2
Location of Dissolution Clause from Part Ill, line 2b or 2c (Page, Article and Paragraph Number) or by
operation of state law PAGE 6, ART. 16
II Signature of an officer, director, trustee, or other official who is authorized to sign the application.
Signature at Part Xi of Form 1023.
IZI Your name on the application must be the same as your legal name as It appears in your articles of
organization.
Send completed Form 1023, user fee payment, and all other required information, to:
Internal Revenue Service
P.O. Box 192
Covington, KY 41 01 2-01 92
If you are using express mail or a delivery service, send Form 1023, user fee payment, and attachments to:
Internal Revenue Service
201 West Rivercenter Blvd.
Attn: Extracting Stop 312
Covington, KY 41011
PMW 04 nK Y CW FAW

2010 One Caribbean Exempt App Redacted

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Form

(Rev. June 2006)

Application for Recognition of Exemption

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

Name (if applicable)

146 SUSSEX ROAD

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

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

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

Cat. No. 17133K

Name: ONE CARIBBEAN FOUNDATION, INC.

Form 1023 (Rev. 6-2006)

Form 1023 (Rev. 6-2006)

(annual actual or est m;

Form 1023 (Rev. 6-2006)

Form 1023 (Rev. 6-2006)

CARIBBEAN FOUNDATION, INC.

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

influence bver you for setting their own compensation?

Name: ONE CARIBBEAN FOUNDATION, INC.

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

I1I'JlII Your Specific Activities

Name: ONE CARIBBEAN FOUNDATION, INC.

1023 pev. 6-2006)

Name: ONE CARIBBEAN FOUNDATION, INC.

Form 1023 (Rev. 6 .2006)

ONE CARIBBEAN FOUNDATION, INC.

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

1023 (Rev. 6-2006)

Name: ONE CARIBBEAN FOUNDATION, INC.

A. Statement of Revenues and Expenses

I Gifts, grants, and

Current tax year

7 Any revenue not otherwise

3 prior tax years or 2 succeeding tax years

(a) ProvideTotaj for

16 Disbursements to or for the

Name; ONE CARIBBEAN FOUNDATION, INC.

If you are unsure, see the instructions.

Name: ONE CARIBBEAN FOUNDATION, INC.

Form 1023 (Rev. 6-2006)

(Signature of Officer, Dfrecto Trustee, or other

(rype or print name of signer)

(Fype or print title cc authority of signer)

For IRS Use Only

IRS Director, Exempt O,anlzatlons

Form 1023 (Rev. 6-2006)

Form 1023 (Rev. 6-2006)

CARIBBEAN FOUNDATION, INC.

iiiii User Fee Information

(Type or print name of sJgnes)

Form 1023 nv.6-oos)

ATTACHMENT TO FORM 1023 - MN: 22-3979350

ATTACHMENT TO FORM 1023 - EIN: 22-3979350

ATTACHMENT TO FORM 1023 - MN: 22-3979350

ATTACHMENT TO FORM 1023 - EIN: 22-3979350

EDMON BRAITH WAITE

146 SUSSEX ROAD

DIRECTOR & NONE

146 SUSSEX ROAD

DIRECTOR & NONE

MYRIE I3RAITH WAITE

146 SUSSEX ROAD