FORM 1023-EZ for ANSAR 901

Field Data
EIN 84-3553999
Case Number EO-2019309-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANSAR 901
Organization’s Mailing Address PO BOX 111545
City MEMPHIS
State TN
ZIP 38111
Accounting period End 12
Primary contact name GREGORY MATHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY MATHEWS
PRESIDENT
3232 BOXDALE STREET
MEMPHIS TN 38118

Officer/Director/Trustee Two

ASAD MUJIHADEEN
VICE PRESIDENT
971 KIRKLAND AVENUE
MEMPHIS TN 38106

Officer/Director/Trustee Three

DANDREA HEGGS
SECRETARY
3232 BOXDALE STREET
MEMPHIS TN 38118

Organization’s website
Organization’s email ANSAR.MEMPHIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - 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 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 DANDREA HEGGS
Signature Title SECRETARY
Signature Date 11/3/19

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