FORM 1023-EZ for CAAFI ORAL HEALTH ADVOCACY AND PROMOTION

Field Data
EIN 83-1239781
Case Number EO-2018201-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAAFI ORAL HEALTH ADVOCACY AND PROMOTION
Organization’s Mailing Address 6761 LEOPOLDS TRAIL
City HAYMARKET
State VA
ZIP 20169-2721
Accounting period End 12
Primary contact name YUSUF KHEIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR KASEY FARAH
PRESIDENT
6761 LEOPOLDS TRAIL
HAYMARKET VA 20169-2721

Officer/Director/Trustee Two

ABDIRASHID AIDID
TREASURER
11106 DOUBLEDAY LN
MANASSAS VA 20109-8223

Officer/Director/Trustee Three

QADAN ISMAIL
SECRETARY
12320 SLEEPY LAKE CT
FAIRFAX VA 22033-2839

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
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 DR KASEY FARAH
Signature Title PRESIDENT
Signature Date 7/18/18

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