FORM 1023-EZ for SUDANESE AMERICAN COMMUNITY IN NEWYORK INC

Field Data
EIN 45-5448530
Case Number EO-2019031-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUDANESE AMERICAN COMMUNITY IN NEWYORK INC
Organization’s Mailing Address PO BOX 380982
City BROOKLYN
State NY
ZIP 11238
Accounting period End 12
Primary contact name MOTASIM ADAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HIND ELSHAZALI
PRESIDENT
489 14TH STREET APT 1R
BROOKLYN NY 11215-5757

Officer/Director/Trustee Two

MOTASIM ADAM
SECRETARY
607 EAST 17TH STREET APT 1
BROOKLYN NY 11226

Officer/Director/Trustee Three

ELYAS KHALIL
TREASURER
2170 ATLANTIC AVE APT 2H
BROOKLYN NY 11243

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/12
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 HIND ELSHAZALI
Signature Title PRESIDENT
Signature Date 1/3/19
EIN 45-5448530
Case Number EO-2019031-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUDANESE AMERICAN COMMUNITY IN NEW YORK INC
Organization’s Mailing Address PO BOX 380982
City BROOKLYN
State NY
ZIP 11238
Accounting period End 12
Primary contact name MOTASIM ADAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HIND ELSHAZALI
PRESIDENT
489 14TH STREET APT 1R
BROOKLYN NY 11215-5757

Officer/Director/Trustee Two

MOTASIM ADAM
SECRETARY
607 EAST 17TH STREET APT 1
BROOKLYN NY 11226

Officer/Director/Trustee Three

ELYAS KHALIL
TREASURER
2170 ATLANTIC AVE APT 2H
BROOKLYN NY 11243

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/12
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 HIND ELSHAZALI
Signature Title PRESIDENT
Signature Date 1/3/19

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