FORM 1023-EZ for ELMONT ISLAMIC CENTER CORP

Field Data
EIN 81-4109031
Case Number EO-2019128-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELMONT ISLAMIC CENTER CORP
Organization’s Mailing Address 14 CREST AVE
City ELMONT
State NY
ZIP 11003
Accounting period End 12
Primary contact name MOHAMMED HASEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYED A SHAH
PRESIDENT
1143 RUSSELL ST
FRANKLIN SQ NY 11010

Officer/Director/Trustee Two

JAVED AHMED KHAN
TREASURER
50 BUTLER BLVD
ELMONT NY 11103

Officer/Director/Trustee Three

MUHAMMAD MOMEN
SECRETARY
95 CREST AVE
ELMONT NY 10003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X40 - Islamic
Organization’s purpose Charitable: No
Religious: Yes
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 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 SYED A SHAH
Signature Title PRESIDENT
Signature Date 5/6/19

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