FORM 1023-EZ for INITIATIVE ON ISLAM AND MEDICINE
| Field | Data |
|---|---|
| EIN | 85-1271197 |
| Case Number | EO-2020230-000215 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INITIATIVE ON ISLAM AND MEDICINE |
| Organization’s Mailing Address | 2035 LA CHANDELLE CT |
| City | BROOKFIELD |
| State | WI |
| ZIP | 53045 |
| Accounting period End | 12 |
| Primary contact name | MUHAMMAD PADELA CPA CFE CFF CITP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AASIM PADELA
CHAIRMAN DIRECTOR
2035 LA CHANDELLE CT
BROOKFIELD WI 53045
Officer/Director/Trustee Two
FAISAL QAZI
BOARD OF DIRECTOR
2895 N TOWNE AVENUE
POMONA CA 91767
Officer/Director/Trustee Three
NAJAM FASIHUDDIN
BOARD OF DIRECTOR
5136 LAKECASTLE DRIVE
TAMPA FL 33624
Officer/Director/Trustee Four
FATEMA MIRZA
BOARD OF DIRECTOR
307 SNOW DRIFT CT
BARTLETT IL 60103
Officer/Director/Trustee Five
ADEL SYED
BOARD OF DIRECTOR
2052 S JUNE PLACE
ANAHEIM CA 92802
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/20/2020 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B05 - Research Institutes and/or Public Policy Analysis |
| Organization’s purpose | Charitable: No 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 | AASIM PADELA |
| Signature Title | CHAIRMAN DIRECTOR |
| Signature Date | 8/13/2020 |
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