FORM 1023-EZ for AMEDINE INTERNATIONAL CITIZENS CENTER INC

Field Data
EIN 81-5081098
Case Number EO-2017058-000737
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMEDINE INTERNATIONAL CITIZENS CENTER INC
Organization’s Mailing Address 116-67 SUTPHIN BLVD
City JAMAICA
State NY
ZIP 11434
Accounting period End 12
Primary contact name AUGUSTINE GOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMED DIALLO
PRESIDENT
178-12 114TH ROAD
JAMAICA NY 11434

Officer/Director/Trustee Two

DIARIOU DIALLO
TRUSTEE
1500 BOONE AVENUE
BRONX NY 10460

Officer/Director/Trustee Three

EL ABDOULAYE DIALLO
TRUSTEE
55-25 98TH STREET
CORONA NY 11368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 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
Signature Title
Signature Date

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