FORM 1023-EZ for ETHIOPIAN AMERICAN MUSLIM ASSOCIATION OF NASHVILLE

Field Data
EIN 47-4972082
Case Number EO-2015338-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETHIOPIAN AMERICAN MUSLIM ASSOCIATION OF NASHVILLE
Organization’s Mailing Address P O BOX 17632
City NASHVILLE
State TN
ZIP 37217
Accounting period End 12
Primary contact name AHMED RAJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AHMED RAJA
PRESIDENT
2921 HARLIN DR
NASHVILLE TN 37211

Officer/Director/Trustee Two

JEMAL DAWUD
TREASURER
2921 HARLIN DR
NASHVILLE TN 37211

Officer/Director/Trustee Three

FARIS HUSEIN
SECRETARY
2921 HARLIN DR
NASHVILLE TN 37211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y99 - Mutual/Membership Benefit Organizations, 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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