FORM 1023-EZ for MUSLIM CIVIC INITIATIVE INC

Field Data
EIN 82-1789165
Case Number EO-2019248-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSLIM CIVIC INITIATIVE INC
Organization’s Mailing Address 5545 GEORGIA AVE
City KANSAS CITY
State KS
ZIP 66104
Accounting period End 12
Primary contact name WALEED AL-SHAIKHLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIAH HAMMOUDA
OFFICER
10270 HAUSER STREET
LENEXA KS 66215

Officer/Director/Trustee Two

WALEED AL-SHAIKHLI
OFFICER
5545 GEORGIA AVE
KANSAS CITY KS 66104

Organization’s website
Organization’s email KCMUSLIMCIVICINITIATIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/17
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R40 - Voter Education, Registration
Organization’s purpose Charitable: No
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 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 WALEED AL-SHAIKHLI
Signature Title OFFICER
Signature Date 9/2/19

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