FORM 1023-EZ for NEW MAINERS PUBLIC HEALTH INITIATIVE

Field Data
EIN 47-1765878
Case Number EO-2014258-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW MAINERS PUBLIC HEALTH INITIATIVE
Organization’s Mailing Address 276 LISBON STREET
City LEWISTON
State ME
ZIP 04240
Accounting period End 12
Primary contact name ABDULKERIM SAID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ABDULKERIM SAID
DIRECTOR
604 LODGE COURT
AUBURN ME 04210

Officer/Director/Trustee Two

HASSAN ABDI
TREASURY
109 BIRCH STREET APT 1
LEWISTON ME 04240

Officer/Director/Trustee Three

SAHAL JIMALE
PRESDENT
119 STRAWBERY AVENUE APT 2
LEWISTON ME 04240

Officer/Director/Trustee Four

JIHAN OMAR
SECRETRY
276 LISBON STREET
LEWISTON ME 04240

Officer/Director/Trustee Five

RASHID SHANKOL
BOARD
215 BARLET STREET
LEWISTON ME 04210

Organization’s website
Organization’s email MIPHI_2010@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2014
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 Yes
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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