FORM 1023-EZ for UOSSM USA

Field Data
EIN 47-3403988
Case Number EO-2015183-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UOSSM USA
Organization’s Mailing Address 4242 GOVERMENT ST 2ND FLOOR RM 201
City BATON ROUGE
State LA
ZIP 70806
Accounting period End 12
Primary contact name DEMOND LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MONZER YAZJI
PRESIDENT / DIRECTOR
502 SOUTH CLOSNER BLVD
EDINBURG TX 78539

Officer/Director/Trustee Two

AHMAD ABO KAYASS
SECRETARY / TREASURER
1611 NORTH BELT LINE ROAD SUITE B
MESQUITE TX 75149

Officer/Director/Trustee Three

KHAULA SAWAH
OFFICER / MEMBER
7387 WHEATLAND MEADOW CT
WEST CHESTER OH 45069

Officer/Director/Trustee Four

ASHRAF TRABOULSI
OFFICER/ MEMBER
7387 WHEATLAND MEADOW CT
WEST CHESTER OH 45069

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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