FORM 1023-EZ for MOHAJERSARA

Field Data
EIN 81-4556996
Case Number EO-2016340-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOHAJERSARA
Organization’s Mailing Address 8758 CASHIO ST APT 4
City LOS ANGELES
State CA
ZIP 90035-3484
Accounting period End 12
Primary contact name SEYED ALI SEPEHR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEYED ALI SEPEHR
BOARD OF DIRECTOR
8758 CASHIO ST APT 4
LOS ANGELES CA 90035-3484

Officer/Director/Trustee Two

SAYED HOSSEIN CHAVOSHI
BOARD OF DIRECTOR
8758 CASHIO ST APT 4
LOS ANGELES CA 90035-3484

Officer/Director/Trustee Three

MOHAMMADREZA TAVAKOLI
BOARD OF DIRECTOR
8758 CASHIO ST APT 4
LOS ANGELES CA 90035-3484

Organization’s website WWW.MOHAJERSARA.ORG
Organization’s email INFO@MOHAJERSARA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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 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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