FORM 1023-EZ for ULTIMATE SUCCESS INSIGHT

Field Data
EIN 83-2904289
Case Number EO-2019051-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ULTIMATE SUCCESS INSIGHT
Organization’s Mailing Address 2719 W DIVISION ST STE 110
City SAINT CLOUD
State MN
ZIP 56301
Accounting period End 12
Primary contact name ABDIRAHIM OSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABDIRAHIM OSMAN
DIRECTOR
3417 3RD STREET N
SAINT CLOUD MN 56303

Officer/Director/Trustee Two

ABDALLE J JAMAA
SECRETARY
381 5TH AVE S 3
SAINT CLOUD MN 56301

Officer/Director/Trustee Three

ABDINASIR HASSAN
TREASURE
1455 MINNESOTA BLVD 236
SAINT CLOUD MN 56304

Organization’s website
Organization’s email USUCCESSINSIGHT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ABDIRAHIM OSMAN
Signature Title DIRECTOR
Signature Date 2/18/19

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