FORM 1023-EZ for MASJID AL SALAM

Field Data
EIN 81-4942507
Case Number EO-2018297-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASJID AL SALAM
Organization’s Mailing Address 1190 EAST DELEVAN AVENUE
City BUFFALO
State NY
ZIP 14215
Accounting period End 12
Primary contact name AMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMMAR SHAIBI
PRESIDENT
1100 BROADWAY
BUFFALO NY 14212

Officer/Director/Trustee Two

ALAWI M ABDULLA
VICE PRESIDENT
218 MESSMER AVENUE
DEPEW NY 14043

Officer/Director/Trustee Three

SADI S MOHAMED
SECRETARY
2638 BAILEY AVENUW
BUFFALO NY 14215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
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 Yes
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 AMMAR SHAIBI
Signature Title PRESIDENT
Signature Date 10/22/18

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