FORM 1023-EZ for KISAT DIABETES ORGANIZATION

Field Data
EIN 82-1449539
Case Number EO-2019038-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KISAT DIABETES ORGANIZATION
Organization’s Mailing Address 2623 RUTLAND RD
City NAPERVILLE
State IL
ZIP 60564
Accounting period End 12
Primary contact name NUZHAT CHALISA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NUZHAT CHALISA
PRESIDENT
2623 RUTLAND RD
NAPERVILLE IL 60564

Officer/Director/Trustee Two

ABBAS HIPTULLAH
DIRECTOR
880 HARTFORD DR
BOLLINGBROOK IL 60440

Officer/Director/Trustee Three

FARAH CHALISA
DIRECTOR
2623 RUTLAND RD
NAPERVILLE IL 60564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
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 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 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 NUZHAT CHALISA
Signature Title PRESIDENT
Signature Date 1/31/19

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