FORM 1023-EZ for ROBLE HASSAN FOUNDATION

Field Data
EIN 82-2820590
Case Number EO-2021020-000041
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROBLE HASSAN FOUNDATION
Organization’s Mailing Address 1500 1ST AVE NE NUMBER 210
City ROCHESTER
State MN
ZIP 55906
Accounting period End 12
Primary contact name CHRIS CRUTCHFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OMAR HASSAN
PRESIDENT
1500 1ST AVE NE NUMBER 210
ROCHESTER MN 55906

Officer/Director/Trustee Two

AHMED OSMAN
VICE PRESIDENT
1405 MARIAN RD SE APT 301
ROCHESTER MN 55904

Officer/Director/Trustee Three

MOHAMED MOHAMED
TREASURER
2203 18TH AVE SE
ROCHESTER MN 55904

Officer/Director/Trustee Four

MUHYIDIN AHMED
SECRETARY
2073 48ST ST NW
ROCHESTER MN 55901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name OMAR HASSAN
Signature Title PRESIDENT
Signature Date 11/23/2020
EIN 82-2820590
Case Number EO-2017278-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROBLE HASSAN FOUNDATION
Organization’s Mailing Address 1500 FIRST AVENUE NE SUITE 210
City ROCHESTER
State MN
ZIP 55906
Accounting period End 12
Primary contact name OMAR HASSAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OMAR HASSAN
PRESIDENT
4620 ALPHA PARKWAY NW APT 223
ROCHESTER MN 55901

Officer/Director/Trustee Two

AHMED OSMAN
VICE PRESIDENT
1405 MARIAN RD SE APT 301
ROCHESTER MN 55904

Officer/Director/Trustee Three

MOHAMED MOHAMED
TREASURER
2203 18TH AVE SE
ROCHESTER MN 55904

Officer/Director/Trustee Four

MUHYIDIN AHMED
SECRETARY
2073 48ST ST NW
ROCHESTER MN 55901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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