FORM 1023-EZ for ISLAMIC CIRCLE OF NORTH AMERICA ICNA SOUTH FLORIDA INC

Field Data
EIN 86-2999628
Case Number EO-2021168-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAMIC CIRCLE OF NORTH AMERICA ICNA SOUTH FLORIDA INC
Organization’s Mailing Address 9688 W LAKE CT
City BOCA RATON
State FL
ZIP 33434
Accounting period End 12
Primary contact name MOHAMMAD ASAM ASAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMMAD ASAM ASAD
PRESIDENT
9688 W LAKE CT
BOCA RATON FL 33434

Officer/Director/Trustee Two

ABDUL RAUF AHMED KHAN
VICE PRESIDENT
413 BUTTONWOOD PLACE
BOCA RATON FL 33431

Officer/Director/Trustee Three

AHSAN ASAD
SECRETARY
9616 S LAKE DR
BOCA RATON FL 33434

Officer/Director/Trustee Four

MANZOOR A KHAN
TREASURER
4770 HAIRLAND DRIVE
WEST PALM BEACH FL 33415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State FL
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: 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 MOHAMMAD ASAM ASAD
Signature Title PRESIDENT
Signature Date 6/15/2021

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