FORM 1023-EZ for FRIENDSMAYOHOSPITALKEMEDUNIVERSITY

Field Data
EIN 85-1214033
Case Number EO-2020155-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDSMAYOHOSPITALKEMEDUNIVERSITY
Organization’s Mailing Address 1851 WORTHING CIRCLE
City SANTA CLARA
State CA
ZIP 95050
Accounting period End 12
Primary contact name ZIA KHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZIA KHAN
PRESIDENT, CHAIRMAN OF THE BOARD
1851 WORTHINGTON CIRCLE
SANTA CLARA CA

Officer/Director/Trustee Two

ARIF AGHA
TREASURER, DIRECTOR, SECRETARY
412 ST MARKS CT
OAKBROOK IL 60523

Officer/Director/Trustee Three

FAROQUE AHMED
VICE PRESIDENT, DIRECTOR
272 WYNDCLIFFE ROAD
SCARSDALE NY 10583

Officer/Director/Trustee Four

BAKHTIAR KAYANI
DIRECTOR
272 WYNDCLIFFE ROAD
SCARSDALE NY 10583

Officer/Director/Trustee Five

ZAKA RAHMAN
DIRECTOR
2408 BURNING TREE CT
JEFFERSONVILLE IN 47130

Organization’s website
Organization’s email FRIENDSMAYOHOSPITALKEMEDUNIV@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 ZIA KHAN
Signature Title PRESIDENT, CHAIRMAN OF THE BOARD
Signature Date 6/1/2020

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