FORM 1023-EZ for ROSHAN PROACTIVE HUMANITARIAN PROGRAM

Field Data
EIN 82-3257914
Case Number EO-2017310-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSHAN PROACTIVE HUMANITARIAN PROGRAM
Organization’s Mailing Address 4704 COLUMBIA RD
City ANNANDALE
State VA
ZIP 22003
Accounting period End 12
Primary contact name MUHAMMAD SABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUHAMMAD SABER
PRESIDENT, DIRECTOR
4704 COLUMBIA RD
ANNANDALE VA 22003

Officer/Director/Trustee Two

TASAWER YOSUFZAI
SECRETARY, DIRECTOR
4704 COLUMBIA RD
ANNANDALE VA 22003

Officer/Director/Trustee Three

SHAPERY NASEREE
TREASURER, DIRECTOR
4704 COLUMBIA RD
ANNANDALE VA 22003

Officer/Director/Trustee Four

MUHAMMAD SHOAIB
DIRECTOR
4704 COLUMBIA RD
ANNANDALE VA 22003

Officer/Director/Trustee Five

MUHAMMAD IRFAN
DIRECTOR
4704 COLUMBIA RD
ANNANDALE VA 22003

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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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