FORM 1023-EZ for SALSABEEL FOUNDATION INC

Field Data
EIN 82-1116011
Case Number EO-2017179-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALSABEEL FOUNDATION INC
Organization’s Mailing Address 4237 S GRAVEL RD
City MEDINA
State NY
ZIP 14103-9594
Accounting period End 12
Primary contact name SIRAJ ABDURRAFI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARIF SHAH
DIRECTOR
5 CERAMAR DRIVE
PENFIELD NY 14526-2814

Officer/Director/Trustee Two

BILAL HUZAIR
DIRECTOR
1500 FULLER
RD NY 14571

Officer/Director/Trustee Three

SIRAJ ABDURRAFI
DIRECTOR
210 SOUTH AVE APT 3
MEDINA NY 14103-1579

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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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