FORM 1023-EZ for CONCERNED MUSLIMS OF AMERICA INCORPORATED

Field Data
EIN 46-0712479
Case Number EO-2014307-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED MUSLIMS OF AMERICA INCORPORATED
Organization’s Mailing Address PO BOX 4984
City SILVER SPRING
State MD
ZIP 20914
Accounting period End 12
Primary contact name AHMED SIDEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOHAMMED LIMA
PRESIDENT AND CHAIRPERSON
3526 PEAR TREE COURT APT 44
SILVER SPRING MD 20906

Officer/Director/Trustee Two

MARIAM KOITA
TREASURER
12334 SANDY POINT COURT
SILVER SPRING MD 20904

Officer/Director/Trustee Three

FAUSA ALIU
EXECUTIVE OFFICER
11175 GEORGIA AVENUE
WHEATON MD 20902

Officer/Director/Trustee Four

HASSAN IDRIS
SECRETARY
18715 ASHBOURNE PLACE
OLNEY MD 20832

Officer/Director/Trustee Five

MALCOLM AVANT
EXCUTIVE OFFICER
15034 SHAMROCK RIDGE ROAD
SILVER SPRING MD 20904

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2012
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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