FORM 1023-EZ for MISKEEN PLACE FOUNDATION

Field	Data
EIN	81-3129125
Case Number	EO-2016190-000286
Form 1023-EZ version	62014
Eligibility Worksheet	1
Organization Name	MISKEEN PLACE FOUNDATION
Organization’s Mailing Address	PO BOX 2172
City	SALT LAKE CITY
State	UT
ZIP	84110-2460
Accounting period End	7
Primary contact name	IBRAHIMA SORIBA BANGOURA
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

IBRAHIMA SORIBA BANGOURA
PRESIDENT, DIRECTOR, FOUNDER
PO BOX 2172
SALT LAKE CITY UT 84110-2460

Organization’s website
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	7/1/2016
Organization Incorporation State	DE
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: Yes Amateur Sports: No Cruelty Prevention: No
Qualify For Exemption	No
Legislation influence	No
Compensation of Officer director trustee	Yes
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
Signature Title
Signature Date

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