FORM 1023-EZ for MANDAEAN IDAHO ASSOCIATION

Field Data
EIN 82-2499775
Case Number EO-2017270-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MANDAEAN IDAHO ASSOCIATION
Organization’s Mailing Address 216 SEVEN SPRINGS AVE
City TWIN FALLS
State ID
ZIP 83301
Accounting period End 12
Primary contact name ANVAR DORRAJI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANVAR DORRAJI
PRESIDENT
216 SEVEN SPRINGS AVE
TWIN FALLS ID 83301

Officer/Director/Trustee Two

SADEGH ASKARI
BOARD MEMBER
1150 FIELDSTREAM WAY
TWIN FALLS ID 83301

Officer/Director/Trustee Three

RUSEL KATEE
BOARD MEMBER
475 CASWELL AVE W NO 501
TWIN FALLS ID 83301

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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