FORM 1023-EZ for HASEM FOUNDATION INC

Field Data
EIN 83-4649331
Case Number EO-2019128-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HASEM FOUNDATION INC
Organization’s Mailing Address 37-20 74TH STREET 2ND FL
City JACKSON HEIGHTS
State NY
ZIP 11372
Accounting period End 12
Primary contact name MOHAMMED HASEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMMED HASEM
PRESIDENT
32-43 84TH STREET
EAST ELMHURST NY 11370

Officer/Director/Trustee Two

ABULFAZAL M KHAN
SECRETARY
31-21 68TH STREET
WOODSIDE NY 11377

Officer/Director/Trustee Three

ABDUS SALAM
TREASURER
90-13 175TH STREET
JAMAICA NY 11432

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 MOHAMMED HASEM
Signature Title PRESIDENT
Signature Date 5/6/19

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