FORM 1023-EZ for USATNMA

Field Data
EIN 81-1661711
Case Number EO-2017125-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name USATNMA
Organization’s Mailing Address 4941 SEQUOIA AVE
City DUBLIN
State CA
ZIP 94568
Accounting period End 12
Primary contact name ABDULLA JEHABERDEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMEEL MOHAMED-ALI
PRESIDENT
874 MILLER AVENUE
CUPERTINO CA 95014

Officer/Director/Trustee Two

RASHID AHAMED
SECRETARY
80 DESCANSO DRIVE APT 1303
SAN JOSE CA 95134

Officer/Director/Trustee Three

AMJATH ALI PRYAREJAN
TREASURER
1701 WARBURTON AVE APT 6
SANTA CLARA CA 95050

Organization’s website WWW.USATNMA.ORG
Organization’s email ABBAS@UNITED.TAX
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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