FORM 1023-EZ for ISLAMIC INDIGENEOUS COMPASSIONATE CARE INC

Field Data
EIN 85-3771158
Case Number EO-2021081-000754
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAMIC INDIGENEOUS COMPASSIONATE CARE INC
Organization’s Mailing Address 202-04 HOLLIS AVENUE SUITE A1
City ST ALBANS
State NY
ZIP 11412
Accounting period End 12
Primary contact name MUSA ABDUS SALAAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUSA ABDUS SALAAM
PRESIDENT
202-04 HOLLIS AVENUE SUITE A1
ST ALBANS NY 11412

Officer/Director/Trustee Two

YUSEF SALAM
SECRETARY
106 WEST 137TH STREET SUITE 1
NEW YORK NY 10030

Officer/Director/Trustee Three

SALLIE JACKSON
ASSISTANT SECRETARY
2937 FREDERICK DOUGLASS BOULEVARD
NEW YORK NY 10039

Officer/Director/Trustee Four

MUHAMMAD ABDUL MUBDI
TREASURER
1360 NEW YORK AVENUE SUITE 1F
BROOKLYN NY 11210

Organization’s website
Organization’s email CHAPLAINMUSA1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X40 - Islamic
Organization’s purpose Charitable: Yes
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SALLIE JACKSON
Signature Title ASSISTANT SECRETARY
Signature Date 1/26/2021

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