FORM 1023-EZ for QIZILBASH LABS INC

Field Data
EIN 81-2925840
Case Number EO-2016169-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QIZILBASH LABS INC
Organization’s Mailing Address 345 WOODSTONE RD SUITE K6
City CLINTON
State MS
ZIP 39056
Accounting period End 6
Primary contact name BILAL QIZILBASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILAL QIZILBASH
DIRECTOR
345 WOODSTONE RD SUITE K6
CLINTON MS 39056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U50 - Biological, Life Science Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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
Signature Title
Signature Date

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