FORM 1023-EZ for AYAN & MOHAMED FAMILY FOUNDATION

Field Data
EIN 83-4543552
Case Number EO-2019119-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AYAN & MOHAMED FAMILY FOUNDATION
Organization’s Mailing Address 43177 KATAMA SQ
City CHANTILLY
State VA
ZIP 20152
Accounting period End 12
Primary contact name MOHAMED HUSSEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AYAN GUHAD
PRESIDENT
43177 KATAMA SQ
CHANTILLY VA 20152

Officer/Director/Trustee Two

MOHAMED HUSSEIN
SECREATRY
43177 KATMA SQ
CHANTILLY VA 20152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 Yes
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 AYAN GUHAD
Signature Title PRESIDENT
Signature Date 4/25/19

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