FORM 1023-EZ for CHIRAGDIN FOUNDATION

Field Data
EIN 86-1266228
Case Number EO-2021064-000878
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHIRAGDIN FOUNDATION
Organization’s Mailing Address 405 CANTERBERRY LANE
City OAK BROOK
State IL
ZIP 60523
Accounting period End 12
Primary contact name MOHAMMAD SAMEER SHAFI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMMAD SHAFI
DIRECTOR
405 CANTERBERRY LANE
OAK BROOK IL 60523

Officer/Director/Trustee Two

KHURRAM MEHTABDIN
DIRECTOR
8 LEORY CT
COMMACK NY 11725

Officer/Director/Trustee Three

AMER AKHTAR
DIRECTOR
13120 DELSON CT
LOS ALTOS HILLS CA 94022

Officer/Director/Trustee Four

SOHAIL SHAFI
DIRECTOR
3407 AINSDALE CT
NAPERVILLE IL 60564

Officer/Director/Trustee Five

RIZWAN BUTT
DIRECTOR
31808 FOX HILL RD
EASTON PA 19045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MOHAMMAD SHAFI
Signature Title DIRECTOR
Signature Date 1/6/2021

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