FORM 1023-EZ for MAHMUDAH INSTITUTE OF WELLNESS ANDMINDFUL LIVING INC

Field Data
EIN 47-2671879
Case Number EO-2015063-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAHMUDAH INSTITUTE OF WELLNESS ANDMINDFUL LIVING INC
Organization’s Mailing Address 764 EAGLETON DRIVE
City MARTINEZ
State GA
ZIP 30907
Accounting period End 12
Primary contact name ASIM GHAFOOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASMA FISCHER
CHAIRMAN
764 EAGLETON DRIVE
MARTINEZ GA 30907

Officer/Director/Trustee Two

SHIREEN MOORE
TREASURER
3513 GREENWAY DRIVE
EVANS GA 30809

Officer/Director/Trustee Three

ANNETTE NABER
DIRECTOR
5026 JACKSON RIVER DRIVE
MONTEREY VA 24465

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2014
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X40 - Islamic
Organization’s purpose Charitable: No
Religious: Yes
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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