FORM 1023-EZ for THE MARY N BASSIOUNI FOUNDATION

Field Data
EIN 80-0587605
Case Number EO-2017019-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MARY N BASSIOUNI FOUNDATION
Organization’s Mailing Address 350 5TH AVE 59TH FLOOR
City NEW YORK
State NY
ZIP 10118
Accounting period End 12
Primary contact name AIDA BASSIOUNI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BASSIOUNI SR
PRESIDENT
1760 2ND AVE APT 12F
NEW YORK NY 10128

Officer/Director/Trustee Two

MARY RACELIUS
SECRETARY
350 5TH AVE 59TH FLOOR
NEW YORK NY 10018

Officer/Director/Trustee Three

ROSS MOUNTAIN
TREASURER
350 5TH AVE 59TH FLOOR
NEW YORK NY 10018

Organization’s website
Organization’s email AIDABASSIOUNI@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2009
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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
Signature Title
Signature Date

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