FORM 1023-EZ for AMERICAN MUSLIM SOCIETY INC

Field Data
EIN 82-1111820
Case Number EO-2017107-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN MUSLIM SOCIETY INC
Organization’s Mailing Address 4074 BERKELEY MILL CLOSE
City DULUTH
State GA
ZIP 30096
Accounting period End 12
Primary contact name SIDRA RAHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIDRA RAHMAN
PRESIDENT, DIRECTOR
4074 BERKELEY MILL CLOSE
DULUTH GA 30096

Officer/Director/Trustee Two

WASEEM BADRUDDIN
SECRETARY, DIRECTOR
4074 BERKELEY MILL CLOSE
DULUTH GA 30096

Officer/Director/Trustee Three

FAISAL KHAN
TREASURER, DIRECTOR
1460 DISTRIBUTION DR APT 2201
SUWANEE GA 30024

Officer/Director/Trustee Four

FAZAL KHAN
DIRECTOR
341 REGENT CT SW
LILBURN GA 30047

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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