FORM 1023-EZ for UMM AL-QURA COMMUNITY CENTER

Field Data
EIN 47-1774971
Case Number EO-2014261-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UMM AL-QURA COMMUNITY CENTER
Organization’s Mailing Address 3118 COVINGTON STREET
City FAIRFAX
State VA
ZIP 22031
Accounting period End 12
Primary contact name TAMER MOUMEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KHADIGA GAMGOUM
PRESIDENT
3118 COVINGTON STREET
FAIRFAX VA 22031

Officer/Director/Trustee Two

TAMER MOUMEN
VICE PRESIDENT
2905 HIBBARD STREET
OAKTON VA 22124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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
Signature Title
Signature Date

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