FORM 1023-EZ for CANCER AWARENESS INITIATIVE

Field Data
EIN 81-5180348
Case Number EO-2017107-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANCER AWARENESS INITIATIVE
Organization’s Mailing Address 19 NED CT
City SEWAREN
State NJ
ZIP 07077
Accounting period End 12
Primary contact name MUSLEH HAKKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUSLEH HAKKI
EXEC DIR
19 NED CT
SEWAREN NJ 07077

Officer/Director/Trustee Two

QADEER AKHTAR
DIR
467 OLD POST RD
EDISON NJ 08817

Officer/Director/Trustee Three

DR MOHAMMAD ALI
DIR
555 NEW BRUNSWICK AVE
FORDS NJ 08860

Officer/Director/Trustee Four

WAHID SHIBLI
DIR-TREASURER
8 TREEVIEW LANE
CLIFWOOD NJ 07721

Officer/Director/Trustee Five

HASAN RIZVI
DIR
87 WEST KELLY
METUCHEN NJ 08840

Organization’s website WWW.CANCERNJ.COM
Organization’s email ADMIN@CANCERNJ.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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