FORM 1023-EZ for ANSAAR OF WORCESTER INC

Field Data
EIN 82-1371776
Case Number EO-2017131-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANSAAR OF WORCESTER INC
Organization’s Mailing Address 26 SHREWSBURY STREET
City WEST BOYLSTON
State MA
ZIP 01583
Accounting period End 12
Primary contact name MONA IVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONA IVES
PRESIDENT AND DIRECTOR
26 SHREWSBURY STREET
WEST BOYLSTON MA 01583

Officer/Director/Trustee Two

HAFSA DANDIA
TREASURER AND DIRECTOR
95 OAK STREET
SHREWSBURY MA 01545

Officer/Director/Trustee Three

RASHA AHMED
CLERK AND DIRECTOR
71 MAGILL DRIVE
GRAFTON MA 01519

Officer/Director/Trustee Four

MOHSINA KARIM
DIRECTOR
36 BRIDGE RIDGE DRIVE
NORTH GRAFTON MA 01519

Officer/Director/Trustee Five

TASNEEM ZAWAHREH
DIRECTOR
8 WINNIPEG STREET
WORCESTER MA 01607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q71 - International Migration, Refugee Issues
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
Signature Title
Signature Date

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