Field | Data |
---|---|
EIN | 85-1380339 |
Case Number | EO-2020224-000519 |
Form 1023-EZ version | 12018 |
Eligibility Worksheet | 1 |
Organization Name | AMENA MOBILE CLINIC |
Organization’s Mailing Address | 14642 NEWPORT AVENUE / SUITE 110 |
City | TUSTIN |
State | CA |
ZIP | 92780 |
Accounting period End | 12 |
Primary contact name | MASOUD NASSIMI |
Primary contact phone | [Hidden] |
Primary contact phone extension | [Hidden] |
Primary contact fax | [Hidden] |
User fee submitted | $275.00 |
NAFISA NASSIMI ENTEZAR
PRESIDENT
23231 CASTLE ROCK
MISSION VIEJO CA 92692
MASOUD NASSIMI
VICE PRESIDENT
8675 BROOKE AVENUE
WESTMINSTER CA 92683
RASHID BASHIR
TREASURER
1401 WATERFORD PLACE
CHAMPAIGN IL 61821
NADIA IBRAHIM
SECRETARY
162 CALLE DE LOS NINOS
R. SANTA MARGARITA CA 92688
Organization’s website | HTTPS://WWW.AMENAMOBILECLINIC.COM/ |
---|---|
Organization’s email | AMENAMOBILECLINIC@GMAIL.COM |
Organization Incorporated | Yes |
Organization trust | No |
Necessary Organizing Documents | Yes |
Organization Incorporation Date | 6/6/2020 |
Organization Incorporation State | CA |
Contains Limitation | Yes |
Does not expressly empower | Yes |
Contains dissolution | Yes |
National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
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 | Yes |
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 | MASOUD NASSIMI |
Signature Title | VICE PRESIDENT |
Signature Date | 8/7/2020 |
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