FORM 1023-EZ for HAITHAM FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3808139 |
| Case Number | EO-2019065-000394 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAITHAM FOUNDATION |
| Organization’s Mailing Address | 17994 EQUINOX AVENUE |
| City | LAKEVILLE |
| State | MN |
| ZIP | 55044 |
| Accounting period End | 12 |
| Primary contact name | JAMAL HUSSEIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMAL HUSSEIN
PRESIDENT
17994 EQUINOX AVENUE
LAKEVILLE MN 55044-2263
Officer/Director/Trustee Two
AMRAN AWEIS
TREASURER
17994 EQUINOX AVENUE
LAKEVILLE MN 55044-2263
Officer/Director/Trustee Three
TERENCE JONES
SECRETARY
8362 TAMARACK VILLAGE 119
WOODBURY MN 55125-3392
| Organization’s website | |
|---|---|
| Organization’s email | JAMAL_138@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/27/18 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P40 - Family Services |
| 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 | Yes |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TERENCE JONES |
| Signature Title | SECRETARY |
| Signature Date | 3/4/19 |
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