FORM 1023-EZ for NIYYAH RECOVERY INITIATIVE

Field Data
EIN 86-2795592
Case Number EO-2021099-002016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIYYAH RECOVERY INITIATIVE
Organization’s Mailing Address 515 15TH AVENUE SOUTH 510
City MINNEAPOLIS
State MN
ZIP 55454
Accounting period End 12
Primary contact name KEILLEN CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT RYNES
BOARD DIRECTOR
2026 BRADLEY STREET 7
NORTH MAPLEWOOD MN 55127

Officer/Director/Trustee Two

NIMO MOHAMED
BOARD DIRECTOR
255 W 96TH STREET
BLOOMINGTON MN 55420

Officer/Director/Trustee Three

FARHIA BUDUL
BOARD CHAIR
515 15TH AVENUE SOUTH 510
MINNEAPOLIS MN 55454

Officer/Director/Trustee Four

CYNTHIA FASHAW
BOARD DIRECTOR
1919 UNIVERSITY AVENUE
SAINT PAUL MN 55104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 FARHIA BUDUL
Signature Title BOARD CHAIR
Signature Date 3/23/2021

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