FORM 1023-EZ for KHALIFAH ACADEMY

Field Data
EIN 83-4694525
Case Number EO-2020121-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KHALIFAH ACADEMY
Organization’s Mailing Address 1503 SIR GALAHAD ROAD
City GREENSBORO
State NC
ZIP 27405
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JINAKI ABDULLAH
BOARD CHAIR
1503 SIR GALAHAD ROAD
GREENSBORO NC 27405

Officer/Director/Trustee Two

KIMBERLY HARPER
TREASURER
2708 TAYBROOK WAY
GREENSBORO NC 27407

Officer/Director/Trustee Three

DONNA LYNEM MUHAMMAD
SECRETARY
2012 WAKEBRIDGE DRIVE
WHITSETT NC 27377

Officer/Director/Trustee Four

NAOMI SHAKIR FEASTE
BOARD MEMBER
5812 QUITMAN TRAIL
RALEIGH NC 27610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
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 JINAKI ABDULLAH
Signature Title BOARD CHAIR
Signature Date 4/28/2020

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