FORM 1023-EZ for HABEEB MUKASA INC

Field Data
EIN 81-4415970
Case Number EO-2016356-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HABEEB MUKASA INC
Organization’s Mailing Address 375 RALPH MCGILL BLVD NE APT 1206
City ATLANTA
State GA
ZIP 30312
Accounting period End 12
Primary contact name HABIB MUKASA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HABIB MUKASA
PRESIDENT
375 RALPH MCGILL BLVD NE APT 1206
ATLANTA GA 30312

Officer/Director/Trustee Two

KYLE ALEXANDER
VICE PRESIDENT
1772 ARKOSE DRIVE SE
ATLANTA GA 30316

Officer/Director/Trustee Three

RICK GORE
SECRETARY
376 NELSON STREET SW UNIT C-2
ATLANTA GA 30313

Organization’s website WWW.HABEEBMUKASA.ORG
Organization’s email HABEEBMUKASA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State GA
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: 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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