FORM 1023-EZ for IMMIGRANT INTEGRATION AND EMPOWERMENT

Field Data
EIN 84-3150957
Case Number EO-2019325-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMMIGRANT INTEGRATION AND EMPOWERMENT
Organization’s Mailing Address 3088 FUJI ISLAND STREET
City WEST SACRAMENTO
State CA
ZIP 95691
Accounting period End 12
Primary contact name MARVAH SHAKIB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARVAH SHAKIB
CHIEF EXECUTIVE OFFICER
2997 LINDEN LN APTB
CARMICHAEL CA 95608

Officer/Director/Trustee Two

RISHAD BAHRAMAND
TREASURER
4399 KELMAN CT
RANCHO CORDOVA CA 95742

Officer/Director/Trustee Three

MOHAMMAD RAFI RAFAAT
SECRETARY
5417 PALM AVE APT 7
SACRAMENTO CA 95841

Officer/Director/Trustee Four

MOHAMMAD AFZAL RASHID
BOARD CHAIRMAN
2700 NORTHROP AVE
SACRAMENTO CA 95864

Officer/Director/Trustee Five

ADIBA HADI
VICE-PRESIDENT
9150 WATERMAN RD APT 207
ELK GROVE CA 95624

Organization’s website
Organization’s email IIANDEMPOWERMENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 MARVAH SHAKIB
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 11/18/19

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