FORM 1023-EZ for TOLEDO MUSLIM DOCTORS INITIATIVE

Field Data
EIN 83-1212020
Case Number EO-2018232-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOLEDO MUSLIM DOCTORS INITIATIVE
Organization’s Mailing Address 6201 NORTH RIVER ROAD
City WATERVILLE
State OH
ZIP 43566
Accounting period End 12
Primary contact name HATEM ELHADY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HATEM ELHADY
BOAD MEMBER
2441 WIMBLEDON PARK BLVD
TOL OH 43617

Officer/Director/Trustee Two

NASSER HAJAR
VICEPRSIDENT
4731 SWATHMORE PLACE
SYLVANIA OH 43560

Officer/Director/Trustee Three

SULAIMAN ABAWI
PRESIDENT
2271 WEST DEAN ROAD
TEMPERANCE OH 48182

Officer/Director/Trustee Four

SINAN ALO
SECRETARY
2315 CHANCERY ROAD
TOLEDO OH 43617

Officer/Director/Trustee Five

MOHAMMED AHMED
TREASURER
6201 NORTH RIVER ROAD
WATERVILLE OH 43566

Organization’s website WWW.TMCFREECLINIC.ORG
Organization’s email INFO@TMDFREECLINIC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 HATEM ELHADY
Signature Title BOAD MEMBER
Signature Date 8/16/18

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