FORM 1023-EZ for AFRICAN DJEMBE ART HISTORY YOUTH ORGANIZATION INC

Field Data
EIN 81-5275370
Case Number EO-2017275-000463
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AFRICAN DJEMBE ART HISTORY YOUTH ORGANIZATION INC
Organization’s Mailing Address 934 N UNIVERSITY DR NUMBER 135
City CORAL SPRINGS
State FL
ZIP 33071
Accounting period End 7
Primary contact name SAFIYYAH MUHAMMAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAFIYYAH MUHAMMAD
DIRECTOR AND PRESIDENT
934 N UNIVERSITY DR NUMBER 135
CORAL SPRINGS FL 33071

Officer/Director/Trustee Two

HAKIM CORIANO
DIRECTOR
12850 W STATE ROAD 84 NUM 20-3
DAVIE FL 33325

Officer/Director/Trustee Three

MEAUTHIA DUCILLE
DIRECTOR
1903 BELMONT LANE
N FORT LAUDERDAL FL 33068

Officer/Director/Trustee Four

AMIR MUHAMMAD
TREASURER
934 N UNIVERSITY DR NUMBER 135
CORAL SPRINGS FL 33071

Officer/Director/Trustee Five

ALIYYAH MUHAMMAD
SECRETARY
934 N UNIVERSITY DR NUMBER 135
CORAL SPRINGS FL 33071

Organization’s website AFRICANDJEMBE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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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