FORM 1023-EZ for MIRZA FOUNDATION USA INC

Field Data
EIN 81-4002762
Case Number EO-2016277-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIRZA FOUNDATION USA INC
Organization’s Mailing Address 1800 MISTY MORN PL
City LONGWOOD
State FL
ZIP 32779
Accounting period End 12
Primary contact name MEHTAB BANGASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUSSNAIN MIRZA
PRESIDENT
1800 MISTY MORN PLACE
LONGWOOD FL 32779

Officer/Director/Trustee Two

ARJUMAND BATOOL
VICE PRESIDENT
1800 MISTY MORN PLACE
LONGWOOD FL 32779

Officer/Director/Trustee Three

AMIR MIRZA
SECRETARY
1215 PALLISTER LN
LAKE MARY FL 32746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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 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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