| Field | Data |
|---|---|
| EIN | 82-2800115 |
| Case Number | EO-2018043-000386 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHICAGO MUSLIM MEDICAL ALLIANCE |
| Organization’s Mailing Address | 951 OAK STREET |
| City | NORTH AURORA |
| State | IL |
| ZIP | 60543 |
| Accounting period End | 12 |
| Primary contact name | MAZEN ASBAHI ESQ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MOHAMMAD HUSSAIN MD
PRESIDENT AND DIRECTOR
407 EAST 17TH ST
LOMBARD IL 60148
MOHAMMED SAHLOUL MD
VICE PRESIDENT AND DIRECTOR
10837 SOUTH CICERO AVE STE 300
OAK LAWN IL 60453
IMRAN SHAIKH MD
SECRETARY AND DIRECTOR
17 BAYBROOK LANE
OAK BROOK IL 60523
MOHAMMED SHAKAIB MD
TREASURER AND DIRECTOR
10 BAYBROOK LANE
OAK BROOK IL 60523
| Organization’s website | CHICAGOMUSLIMMEDICALALLIANCE.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/14/17 |
| Organization Incorporation State | IL |
| 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: Yes 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 | 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 | MOHAMMED SHAKAIB MD |
| Signature Title | TREASURER AND DIRECTOR |
| Signature Date | 2/9/18 |
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