FORM 1023-EZ for FRIENDS OF MOSSAWA INC

Field Data
EIN 83-2432302
Case Number EO-2018323-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MOSSAWA INC
Organization’s Mailing Address 12 S BUCKHOUT STREET
City IRVINGTON
State NY
ZIP 10533
Accounting period End 12
Primary contact name SUHA SALMAN MOUSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUHA SALMAN MOUSA
CHAIRMAN
12 S BUCKHOUT
IRVINGTON NY 10533

Officer/Director/Trustee Two

EMIL ASLI
TREASUROR
15 SCHENCK AVE
GREAT NECK NJ 11021

Officer/Director/Trustee Three

ELISE MANCHESTER
SECRETARY
115 PAW LAKE DRIVE
CHAGRIN FALLS OH 33022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUHA SALMAN MOUSA
Signature Title CHAIRMAN
Signature Date 11/15/18

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