FORM 1023-EZ for HABIBI CENTER USA INC

Field Data
EIN 84-4734949
Case Number EO-2021064-001905
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HABIBI CENTER USA INC
Organization’s Mailing Address 186 EAGLE DRIVE
City EPHRATA
State PA
ZIP 17522
Accounting period End 12
Primary contact name SUSANA TERCERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSANA TERCERO
PRESIDENT
186 EAGLE DRIVE
EPHRATA PA 17522

Officer/Director/Trustee Two

MICHELLE MARTINEZ
TREASURER
186 EAGLE DRIVE
EPHRATA PA 17522

Officer/Director/Trustee Three

AARON HACKMAN
CHAIRPERSON OF THE GOVERNING BODY
240 MICHTERS ROAD
NEWMANSTOWN PA 17073

Officer/Director/Trustee Four

BENJAMIN COOK
COMMUNICATIONS DIRECTOR
422 CENTERVILLE RD
GORDONVILLE PA 17529

Officer/Director/Trustee Five

ADRIELLE KNIGHT
FUNDRAISING DIRECTOR
2626 S GAYLORD STREET
DENVER CO 80210

Organization’s website
Organization’s email habibicenterusa@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 SUSANA TERCERO
Signature Title PRESIDENT
Signature Date 1/13/2021

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