FORM 1023-EZ for MUSLIM HEALTH PROFESSIONALS OF SEATTLE

Field Data
EIN 83-1743694
Case Number EO-2018243-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSLIM HEALTH PROFESSIONALS OF SEATTLE
Organization’s Mailing Address 15525 9TH AVE NE
City SHORELINE
State WA
ZIP 98155
Accounting period End 8
Primary contact name SARAH BERBACHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AHSEN NADEEM
DIRECTOR/ PRESIDENT
18215 NE 95TH WAY NUMBER 104
REDMOND WA 98052

Officer/Director/Trustee Two

SARAH BERBACHE
TREASURER
15525 9TH AVE NE
SHORELINE WA 98155

Officer/Director/Trustee Three

AYSHA AYUB
PUBLIC RELATION CHAIR
18905 34TH AVE S
SEATAC WA 98188

Officer/Director/Trustee Four

HAKIM HALIMUN
DENTAL CHAIR
13893 NE 69TH ST NUMBER 698
REDMOND WA 98052

Officer/Director/Trustee Five

HIKMATULLAH ARIF
SECRETRY
3014 177TH PL SW
LYNNWOOD WA 98037

Organization’s website MHPSEATTLE.ORG
Organization’s email MHPSEATTLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 Yes
Correctness Declaration Yes
Signature Name SARAH BERBACHE
Signature Title TREASURY OFFICER
Signature Date 8/29/18

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