FORM 1023-EZ for MSK FAMILY FOUNDATION

Field Data
EIN 46-3383062
Case Number EO-2014294-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MSK FAMILY FOUNDATION
Organization’s Mailing Address 3595 VAN BUREN BLVD SUITE 203
City RIVERSIDE
State CA
ZIP 92503
Accounting period End 12
Primary contact name MOHAMMED Q KHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOHAMMED KHAN
PRESIDENT/DIRECTOR
3595 VAN BUREN BLVD SUITE 203
RIVERSIDE CA 92503

Officer/Director/Trustee Two

ZINATH KHAN
SECRETARY/TREASURER/DIRECTOR
3595 VAN BUREN BLVD SUITE 203
RIVERSIDE CA 92053

Officer/Director/Trustee Three

MIR ALI KHAN
DIRECTOR
3595 VAN BUREN BLVD SUITE 203
RIVERSIDE CA 92053

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 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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