FORM 1023-EZ for CHARTER ATHLETIC ASSOCIATION

Field Data
EIN 85-4350778
Case Number EO-2021063-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARTER ATHLETIC ASSOCIATION
Organization’s Mailing Address 1907 LARPENTEUR AVE W
City SAINT PAUL
State MN
ZIP 55113
Accounting period End 12
Primary contact name ABDULAZIZ MOHAMED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABDULAZIZ MOHAMED
PRESIDENT
1907 LARPENTEUR AVE W
ST. PAUL MN 55113

Officer/Director/Trustee Two

AYANLE HASHI
TREASURER
1776 MARYLAND AVE E
ST. PAUL MN 55106

Officer/Director/Trustee Three

HAMZA ISMAIL
BOARD MEMBER
1213 BLUFF AVE EAST
SHAKOPEE MN 55379

Officer/Director/Trustee Four

ABDULLAHI MAXAMED
BOARD MEMBER
661 HIAWATHA AVE
VADNIS HEIGHTS MN 55127

Officer/Director/Trustee Five

HASHIM MOHAMED
BOARD MEMBER
13837 ECHO PARK LANE
BURNSVILLE MN 55337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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 ABDULAZIZ MOHAMED
Signature Title PRESIDENT
Signature Date 12/28/2020

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