FORM 1023-EZ for HAMED MIRZAEI FOUNDATION INC

Field Data
EIN 47-1438838
Case Number EO-2014279-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAMED MIRZAEI FOUNDATION INC
Organization’s Mailing Address 1135 MARBELLA PLAZA DRIVE
City TAMPA
State FL
ZIP 33619
Accounting period End 12
Primary contact name HAMED MIRZAEI-SOUDERJANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAMED MIRZAEI-SOUDERJANI
PRESIDENT AND EXECUTIVE DIRECTOR
3662 MIDVALE AVE APT 16
LOS ANGELES CA 90034

Officer/Director/Trustee Two

RACHEL RAYNES
TREASURER AND DIRECTOR OF OPERATION
3662 MIDVALE AVE APT 16
LOS ANGELES CA 90034

Officer/Director/Trustee Three

IFTEKHAR BAIG
CHAIRPERSON AND DIRECTOR OF PUBLIC
2747 VIA CAPRI SUITE 1135
CLEARWATER FL 33760

Officer/Director/Trustee Four

RAWAD KOTEICHE
VICE PRESIDENT
1653 PARK ROAD NW APT 2
WASHINGTON DC 20010

Organization’s website WWW.HAMEDMIRZAEI.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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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