FORM 1023-EZ for MALIK HUMAN SERVICES INSTITUTE INC

Field Data
EIN 81-3223039
Case Number EO-2016224-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALIK HUMAN SERVICES INSTITUTE INC
Organization’s Mailing Address 153 GREENWOOD STREET
City NEW HAVEN
State CT
ZIP 06511
Accounting period End 12
Primary contact name JAMES E JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JONES
PRESIDENT
153 GREENWOOD STREET
NEW HAVEN CT 06511

Officer/Director/Trustee Two

MATINIAH YAHYA
VICE PRESIDENT
153 GREENWOOD STREET
NEW HAVEN CT 06511

Officer/Director/Trustee Three

ABDULMALIK NEGEDU
SECRETARY/TREASURER
109 GREAT HILL ROAD
OXFORD CT 06478

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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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