FORM 1023-EZ for HUSAINIYAH AYATULLAH SABERI INC

Field Data
EIN 81-1193118
Case Number EO-2016029-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUSAINIYAH AYATULLAH SABERI INC
Organization’s Mailing Address 6127 165TH STREET 2ND FL
City FRESH MEADOWS
State NY
ZIP 11365
Accounting period End 12
Primary contact name RASHED SAYED SABERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAYEDHOSSEIN SABERI
DIRECTOR
6127 165TH STREET 2ND FL
FRESH MEADOWS NY 11365

Officer/Director/Trustee Two

RASHED SABERI
DIRECTOR
15870 CAMINO SAN BERNARDO APT 319
SAN DIEGO LA 92127

Officer/Director/Trustee Three

SIMINGOL SABERI
DIRECTOR
6127 165TH STREET 2ND FL
FRESH MEADOWS NY 11365

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X40 - Islamic
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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