FORM 1023-EZ for AL-FAROOQ COMMUNITY HEALTH CENTER

Field Data
EIN 85-1393014
Case Number EO-2020174-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AL-FAROOQ COMMUNITY HEALTH CENTER
Organization’s Mailing Address 8950 S STONY ISLAND AVENUE
City CHICAGO
State IL
ZIP 60617
Accounting period End 12
Primary contact name BASHIRU HABIB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BASHIRU HABIB
PRESIDENT
7839 SOUTH MICHIGAN AVENUE
CHICAGO IL 60619

Officer/Director/Trustee Two

HUMULHIRE IBRAHIM
SECRETARY
7351 SOUTH BENNETT AVENUE
CHICAGO IL 60649

Officer/Director/Trustee Three

MUSA MOHAMMED
TREASURER
707 WEST WAVELAND AVENUE 1305
CHICAGO IL 60613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BASHIRU HABIB
Signature Title PRESIDENT
Signature Date 6/19/2020

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