inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• section 501(c)(3) organlzatlonslnd...

19
, . A Fo' Return of Organization "Jnder section 501(c), 527,.' NPTHAMZAlS O:;tU1/",uug ",." r,.., ._ From Income Tax I I COda (except black lung B CtII"',nappl\cilb,;;' Name of organization D o MdresG change E o Name change o retum o Termination o Amended If!tum o ,l,pp!icatiOO pelldlng J K Check here ... •• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml 990 Of lBO-Ell· if the organizaUon Is not a 509(a)(3) supporting organization and ttl grOP F Awluntlnlil Inllhod: c..t1 o Aoor'Ual 0 Other (.,cIfy) H and I .... not applicaboe 10 aectlOn 527 •. H(a) lathl' " "roup retum for affl1latM? 0 Va. No H(b) II "'1'111," linter numbar of affil\etel ,. H(e) Ate aUeflllia. Induded? '0 Y ... D' No 'No," attach II 1111. See instructiOns.) H(d) II thlla separate nrtum filad by an .... II'!"" more than A return \s not required, but if the organi1:Btlon chQOllas , 0 i ! ! to fila a rel ." De So". \U fila. complete return. 1 b , 2 3 4 5 6. b " 7 .. b , d 9 b , 10. b , 11 13 14 15 16 16 19 20 Contri l utiol1'" 'J·a. Jnd ,lmllar amounts received: Conli:" 'Jlior, donor a, 'ised funds Direct :)l!loJlir s'jOport (not included on line 1a) . Indirect pul ': support included on line 1a) . M Check organization Is not required Governmen' contributi( '1> (grants) (not included on line 1a) ____ Total(add'ines1athr'lugh 1d){cssh $ noncash L Program service including government fees and contracts (from Part VH, -------- Memt-ershlp d. "." al1(i aS3essments I,nterest on sav' 1s and cash investments. Oivir' 'Ids m securities Gross Lpss: rei «"penses Net ren!; I income Of "1')68). 51 ',tract line 6b from line 6a Other in" 'lstment inC'" (describe'" Gross amount from sales of assets other than inventory less: cost or other basis and sales expenses Gain or (loss) (attach schedule) Net gain or (loss), Combine line Bc, columns (A) and (6) Special events and activities (attach schedule). If any amount is from gaming, check here '0 . Gross revenue (not including $ of contributions reported on line 1b). Less: direct expenses other than fundraising expenses Net income or (loss) from -special events. Subtract line 9b from line 9a . Gross sales of Inventory, less returns and allowances. less: cost of !loods sold Gross profit. or (loss) from sales of inventr.ry (attach schedule). &Jbtract nne 10b from line Other revenue (from Part Vii, line 103) I Program services (from line 44, column (6)) Management and general {from line 44. colUmn (C)) . Fundraising (from line 44, colUmn (0)) Payments to affiliates (attach schedule) Excess or (deficit) for the year. Subtract line 17 from line 12 Net assets or fund balances at beginning of year {from line 73, column (A)) other "hanges in net assets or furKI balances (attach explanation) 1 , ....

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Page 1: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

, . A Fo'

Return of Organization "Jnder section 501(c), 527,.' ;~,!J.f

NPTHAMZAlS O:;tU1/",uug ",." r,.., ._

From Income Tax I I

COda (except black lung

B CtII"',nappl\cilb,;;' Name of organization D

o MdresG change E o Name change

o Inl~al retum

o Termination

o Amended If!tum

o ,l,pp!icatiOO pelldlng

J

K Check here ...

•• • Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla

truats rnLJ'l attach a completed Schedule It. (Foml 990 Of lBO-Ell·

if the organizaUon Is not a 509(a)(3) supporting organization and ttl grOP

F Awluntlnlil Inllhod: c..t1 o Aoor'Ual 0 Other (.,cIfy)

H and I .... not applicaboe 10 aectlOn 527 organjz~ •.

H(a) lathl' " "roup retum for affl1latM? 0 Va. ~ No H(b) II "'1'111," linter numbar of affil\etel ,.

H(e) Ate aUeflllia. Induded? '0 Y ... D' No ~f 'No," attach II 1111. See instructiOns.)

H(d) II thlla separate nrtum filad by an

recelpts~ .... ~"'rm.lly II'!"" more than ~:;':5.OCO A return \s not required, but if the organi1:Btlon chQOllas

• , 0

i

• • !

! l£ • ~

to fila a rel ." De So". \U fila. complete return.

1

• b , • •

2

3

4

5 6. b

" 7 .. b , d

9

• b ,

10. b ,

11

13 14 15 16

16

19 20

Contril utiol1'" 'J·a. Jnd ,lmllar amounts received:

Conli:" 'Jlior, donor a, 'ised funds

Direct :)l!loJlir s'jOport (not included on line 1a) .

Indirect pul ': support (10~ included on line 1 a) .

M Check organization Is not required

Governmen' contributi( '1> (grants) (not included on line 1a) ~~~=======")_~;+ ____ ~~"-~!! Total(add'ines1athr'lugh 1d){cssh $ 420~'E;6"i" noncash L Program service rev~"ue including government fees and contracts (from Part VH, n:",:-::9:3~) --------Memt-ershlp d. "." al1(i aS3essments

I,nterest on sav' 1s and I~moorary cash investments.

Oivir' 'Ids ~'ld interf,~t' m securities

Gross ~.,ts

Lpss: rei «"penses

Net ren!; I income Of "1')68). 51 ',tract line 6b from line 6a

Other in" 'lstment inC'" l~ (describe'"

Gross amount from sales of assets other

than inventory

less: cost or other basis and sales expenses

Gain or (loss) (attach schedule)

Net gain or (loss), Combine line Bc, columns (A) and (6)

Special events and activities (attach schedule). If any amount is from gaming, check here "~. '0 . Gross revenue (not including $ of

contributions reported on line 1b).

Less: direct expenses other than fundraising expenses

Net income or (loss) from -special events. Subtract line 9b from line 9a .

Gross sales of Inventory, less returns and allowances.

less: cost of !loods sold

Gross profit. or (loss) from sales of inventr.ry (attach schedule). &Jbtract nne 10b from line

Other revenue (from Part Vii, line 103)

I Program services (from line 44, column (6))

Management and general {from line 44. colUmn (C)) .

Fundraising (from line 44, colUmn (0))

Payments to affiliates (attach schedule)

Excess or (deficit) for the year. Subtract line 17 from line 12

Net assets or fund balances at beginning of year {from line 73, column (A))

other "hanges in net assets or furKI balances (attach explanation)

1 ~~~~~~~ ,.... F~

Page 2: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

(A) Tiltal

228 Grants paid from donor advised funds (attach schedule)

(B) Program

"""",

(cash $ cash $;------~l, "00- 0 If this amount includes foreign grants, check here" i--!~-I--------+--------

22bOther grants and alloca~ons (attach schedule)

(cuh $ ~~ $,-------,---,.l,rl, Ifthis amount includes foreign grants, check here .. U i--!~-I--------+--------

23 Specific assistance to individuals (attach

schedule)

24 Benefits paid to or for members (attach

schedule)

26a Compensation of current Officers, directors,

key employees, etc, tisted in

Part V-A

b Compensation of former officers, directors,

key employees, etc. listed in

PartV·B

c Compensation and other distributions, not inctuded above,

to disqualified persons (as defined under section

4958(f)(1)) and persons described In section 4958(c)(3)(B)

26 Salaries and wages of employees not included

on lines 25a, b, and c .

27 Pension plan contributions not included on

lines 25a, b, and c .

28 Employee benefits not included on lines

25a - 27

29 Payrolt taxes

30 Professional fund raising fees

31 Accounting fees

32 Legal fees .

33 Supplies

34 T etephone

35 Postage and shipping.

36 Occupancy

37 Equipment rental and maintenance .

36 Printing and publications.

39 Travel

40 Conferences, conventions, and meetings

41 Interest

42 Depreciation, depletion, etc. (attach schedule) .

43 Other expenses not covered above (itemize):

a SEE STATEMENT 1 b , d

• f

• 44 Total functional expenses. Add lines 22a

through 43g. (Organizations completing

columns (B)-(D), carry these totals to lines

Joint Costs. Check .. if you are following SOP 98-2.

Are any joint costs from a combined educational campaign and fundraising SOlicitation reported in (B) Program services?

NPTf.iAMZAIS ~510112008 3:-47 PM Pg <

..DYe.~No If ·Yee: enler (11 the sggregate amount of the.e joint costs $ : (Ill the amount allocated to Program .ervlce. $, _________ _

(111) the amount alklcated to Manapement and peneral $

DM . and (Iv) the amount allocated to Fundl1li.lng $

Form 990 (2007)

Page 3: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

Form 990 is available for public inspection and, for some people, serves as the primary or sole source of Information about a

particular organization. How the public perceives an organ:zaUon in such cases may be determined by the information presented on its retum. Therefore, please make sure the return is complete and accurate and fully describes, In Part III, the organization's

,,' Vv'hat is the organization's primary exempt purpose?

~ PRACTIC:E. AND .EDUCAT~ONOF. ISLAM All organizations must describe their exempt purpose achievements In a clear and concise manner. Stala the number

of clients served, publications issued, etc. Discuss achievements that are not measurable. (Sectlon 501(c)(3) and (4)

I

•• !~~[~ltl:~:g~~:~i:~~:~~;::~~~::~iMl~H~l~Dl~i()~I~l·; .... L.ECTi.iRES, • . YOUTH ,

b

d

" • other program services (attach SChedule)

"

; I

; I

NPTHA'MZAIS 05~112008 3:47 PM Pg ~

Program Service Expenses

(Required lor 501(0)(3) and (4) 01(11., and 4947(a)(1)

Page 4: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

~ ~

OM

411 Cash-non-Interest-bearing

46 Savings and temporary cash investments

41. Accounts receivable

b Less: allowance for doubtful accounts.

48.

• 4'

Pledges receivable

Less: allowance for doubtful accounts.

Grants receivable

i i

SO. Receivables from current and former officers, directors, trustees, and

key employees (attach 8ched~) , .

• Receivables from other disqualified persons (as cefined under section 4958(f)(1}) and

persons described in section 4958(c){3)(6) (att. schedule) .

51.

• 52

" 54a

• '5o

• " 57.

• 58

Other notes and loans receivable (attach

schedule)

Less: allowance for doubtful accounts. Inventories for sale or use Prepaid expenses and deferred charges InvNtmer'lts-p~blidy-lraded 5DCuritiea InvNtments-other HCI.lr~ies (attach schedule)

Inveslments--land, buildings, and equipment: basis

Less: accumulated depreciation (attach

schedule) .

Investments--<lther (altach schedule) .

Land, buildings, and equipment: basis.

Less: accumulated deoreciation (attach

schedule) .

Other assets, including program-!lIlated 'nllestrPents

(describe ...

Co.

80 Accounts payable and liIccrued expenses.

81 Grants payable.

82 Deferred revenue

63 Loans from officers, directors, !1\J6'tees, a;xl key employees (attach

schedule) .

848 Tax-exempt bond liabilities (attach schedu:e)

b Mortgages and other notes payable (altact> schedule) .

65 Other lJabllities (describe ...

117, check here and complete lines

67 through 69 and lines 73 and 74.

67 Unre9tricted

88 Temporarily restricted.

89 PermanenUy re9tricted

Organizations that do not follow SFAS 117, cll1l:It here ... ~ '~~d" complete lines 70 through 74.'

70 Capital stock, trust principal, or current fUI"l~:,

71 Paid-in or capital surplus, or land. building, ar.e e(luipmenl fund

72 Retained earnings, endowment, accumula:ec :ncome, or other funds

73 Total net assets or fund balances. Add Ii"es 57 ..tJrough 69 or lines

70 through 72. (Column (A) must equall'O'e ~9 and column (9) must

equal line 21)

'MV B 'MV

(A) Beginning of year

NPTHAMZAIS PSI011200a 3:47 PM Pg I

Fann 990 (2n07)

Page 5: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

• Total revenue, gains, and other support per audited financial statements

b Amounts included on line a but not on Part I, line 12:

1 Net unrealized gains on investments ..

2 Donated services and use of facilities

3 Recoveries of prior year grants

4 Other (specify):

Add lines b1lhrough b4 .

c Subtract line b from line a . d Amounts included on Part I, line 12, but not on line a:

• b

, d

1 Investment expenses not included on Part I,line 6b

2 Other (specify):

1

2

3

4

1

2

Add lines d1 and d2 .

Total expenses and losses per audited financial statements .

Amounts included on nne a but not Part I, line 17:

Donated services and use of faCilities

Prior year adjustments reported on Part I, Une 20 losses reported on Part I, line 20 Other (specify):

Add nnes b1 through b4 .

Subtract line b from line a Amounts included on Part I, line 17, but not on line a:

Investment expenses not included on Part I, line 6b

Other (specify):

Add lines d1 arid d2

. Add linese and d.

i

(Al Name and address

.................

TAREEF SAEB A;LPIIAlU!lTTA

........................... ~PHAN:TTA

SRAKIL GRAYA ALPHARETTA

.............. ~PHAN:'l"l'A

OAA

NPl'HAMlAlS C5JC112008 3:47 PM PI! II

VICE PRESID.

TRZASUREa

SECRETARY

(2007)

Page 6: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

"75. Enter the total number of officers, directors, and trustees permitted to vote on organization business at board

meetings. ........ . .... . b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated

employees listed In Schedule A, Part I, or highest compensated professional and other Independent

contractors listed in Schedule A, Part II-A or II-B, related to each other through family or busIness relationships? If ''Yes," attach a statement that Identifies the Individuals and explaIns the relationshlp(s)

c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest

compensated employees listed In Schedule A, Part I, or highest compene.ated professional and other

independent contractors listed in Schedule A, Part lI-A or II-B, receive compensation from any other

organizations, whether tax exempt or taxable, that are related to the organization? See the instructions for

the definition of "related organization." If 'Yes," attach a ststement that includes the infol"l'ration described In the Instructions.

I

(AI Name and addr ... loans iIIld AdvallCBs

'i the organization make a change in its activities or methods of conducting activities? If "Yes," attach a

detailed statement of each change

71 Were any changes made in the organiz~g 'or govemi~g d~~~~~~t~' b~ ~~t'~~~~d't~ ih~ 'IRS?'

If ''Yes,'' attach a conformed copy of the chang~s.

78a Did the organization have unrelated bUsiness gross income of $1 ,000 or more during the year covered by thie return?

b If 'Yes," has it filed a tax return on Form 990·T for ~!1is year?

79 Was there a liquidation, dissolution, termination, or sUbstantiai ~~~~ii~~'d~~i~' ih~ Y~~r?·lf..y~s,,, ~ttach a statement

80a Is the organiz~tion reiated (other th~~ by as~~'c'iatl~~'with' ~'~t~tewide'~~ ~atio~~de org~~~~ii~~') 'th~ugh . common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt

organization? .

b If ''Yes,'' enter the name of the organization ..

NPTHAMZAIS O~/oII200S 3:41 PM PIiI"'

and check whether it Is . D' Enter direct and indirect political expenditures. (See tine 81 instructions.)

·········0············· nonexempt

81, ,I

Form 990 (Ul07)

OM

Page 7: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

82a Did the organization receive donated selVlces or the use of materials, equipment, or facilities at no charge

or at substantiaUy less than fair rental value?

b If ''Yes,'' you may indicate the vatue of these items here. 00 not include It1ls

amount as revenue in Part I or as an expense in Part II.

NPTHAMZAlS ~5J011200S 3:47 PM Pg I

83. o

(See instructions in Part III.) ........ ...... ~~""-~~~~~~;j~1;~~~E;~ Did the organization comply with the public inspection requirements for returns and exemption applications? ..

Did the organization comply with the disclosure requirements relating to quid pro quo contributions?

Did the organization solicit any contributions or gifts that were not tax deductible? .40 o

.. , o

If ''Yes.'' did the organization include with every solicitation an express statement that such contributions or

gifts were nol tax deductible? .

501(c)(4), (5), or (6). Were substantially all dues nondeductible by members?

Did the organization make only in-house lobbying expenditures of $2,000 or less?

If ''Yes'' was answered to either 65a or 65b, do not complete 65c through 85h below unless the organization

received a waiver for proxy tax owed for the prior year.

c Dues, assessments, and similar amounts from members

d Section 162(e) tobbylng and political expenditures ..

9 Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices

f Taxable amount of lobbying and political expenditures (line 85d less 85e) .

9 Does the organization elect to pay the section 6033(e) tax on the amount on line 85n . h If section 6033(e)(I)(A) dues notices were sent. does the organization agree to add the amount on line 85f

to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the

following tax year? . . . . . . . . . . . . . . . . ........ . 86 501(c)(7) orgs. Enter: a Initiation fees and capital contributions included on line 12 .

b Gross receipts. included on line 12, for public use of club facilities.

87 501 (c)(12) orgs. Enter: a Gross income from members or shareholders

b Gross income from other sources. (Do not net amounts due or paid to other

sources against amounts due or received from them.)

88a At any time during the year, did the organization own a 50% or greater Interest in a taxable corporation or

partnership. or an entity disregarded as separate from the organization under Regulations sections

301.7701-2 and 301.7701·3? If ''Yes,'' complete Part IX . . .......... .

b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes: complete Part XI .

89a 501 (c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under:

seciion4911 .. 0 ;section4912 ... 0 ; section 4955 ..

b 501 (c)(3) and 501(c)(4) orgs. Did the organization engage in any section 4958 excess benefit transaction

during the year or did it become aware of an excess benefit transaction from a prior year? If ''Yes,'' attach

a statement explaining each transaction

c Enter: Amount of tax imposed on the organization managers or d'squaffied

persons during the year under sections 4912, 4955, and 4958 .

d Enter: Amount of tax on line 89c, above, reimbursed by the organiZation

e All organizations. At any time during the tax year. was the organization a party to a prohibited tex shelter

transaction?

t All organizations. Old the organization acquire a direct or indirect interest in any applicable insurance contract?

9 For suPportin9 organizations and sponsoring organizations maintaining donor advised funds. Old the

supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings

at any time during the year? .

9Da list the states with which a copy of this return is filed ~ .. N91>1E. b Number of employees employed in the pay period that includes March 12, 2007 (See

instructions.) .

N/A Nji.. Nji..

o

o o

19001 1 91a The books are in care of . .,: .. '9'HAKIL· ·GRAYA·

18108 DEER·TRAIL Located at ... ~?~.~.~~., .. GA

Telephone no. .. .706-284:7'0.l:-~~.

b At any time during the calendar year, did the organization have an interest in or a signature or other authority

over a financial account in a foreign country (such as a bank account, securities account. or other financial

account)?

DM

If" Yes." enter the name of the foreign country ..

See the instructions for exceptions and filing requirements for Form TO F 90-22.1, Report of Foreign Bank . I

ZIP+4'" 30004

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NPTHAMZA!S 05/0112.008 3:47 PM Pg 9

At any time duting calendar year, did the organization maintain an oulslde Of the United States? .

If ''Yes,~ enler the name of the foreign country ~

" Section 4947(a)(1) nonexempt charitable trusts filing orm 0," ,"0 onn " .'" j;lii , lhe , I "',,',,' " ,

, Ih F 99' II IF 1041-Ch k h

m , of Note: Enter gross amounts unless otherwise I •.• 5"

(B) (0) Indicated. (A) Bu,!nss. code Amount ~ Aniount

93 Program service revenue:

• b , , • f MedicareJro.Aedicaid payments .

• Fees and contracts from government agencies .. 94 Membership dues and assessments .. Interest on savings and temporary cash investments .. Dividends and Interest from securities

97 Net rental income or (loss) from real estate:

• debt-financed property . .. b not debt-financed property

9B Net rental income or (loss) from personal property .. Other investment income

100 Gain or (loss) from sales of assets other than Invel'lt!Xy

101 Net income or (loss) from special events . ....... 102 Gross profit or (loss) from sales of inventory . ...... 103 Other revenue: a

b , , •

104 Subtotal (add columns (8), (0), and (El)

10. Total (add line 104, columns (8), (D), and (E») ..

" Line No. Explain how each activity for which i

Of the organization's exempt purposes

~ . ........

importantly 10 the accomplishment

(a) Did the organization, duting tile year, receive 2ry funds, directly or indirectly, to pay premiums on a personal benefit conlract7.

(b) Did the organization, during the year. pay premiums, direclly or indirectly, on a personal benefit contract?

Nota: If ''Yes" to (b), file Form 8870 and Form 47Z<:' (see instructions).

OAA

......

(E) Relsted Qr

,

0

No No

Form 990 (2007)

Page 9: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

Regarding Controlled

108 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of

107

1 11 (A)

Name, address, of aach controllad entity

Totals

(8) Employer 10

Numbar

Old the reporting organization receive any transfers from a controlled entity as defined In section

I I II I . (A) (B)

Nama, address, of aach Employar 10 Number

Totals

(C) Dascrlption of

transfer

(C) Description of

transfer

108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest,

ii

NPTHAMZAIS 0.510112008 3:47 PM Pg 10

(D) Amount of traM'"

(D) Amount of trane"r

Und!!r p!!nalti!!s of pe~ury, I dedarll that I have examined this return, Includlnll accompsnyinglChedu~ and .tatement., Ind te> the belt of my knQW\ed1je and belief, tt is lrue, corlllct, and complete. Declar~bon of preparer (other than officer) II balled on all mrmation of which pillpalllr hal any knowledge.

Please Sign He ..

Paid

Use Only

OM

~ Signature of officer

~ Plllpalll~6

signature

Firm'. name (or yours .... ~ Hlf-ernp~ed), ,. addreu. and ZIP + 4

Date

Form 990 (2007)

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SCHEDULE A (Form 990 or 99()-EZll

Name of the organlzlltion

Organization Exempt Under Section 501(c)(3) (Except Private Foundation) and Section 501(e), 501(f), 501(k), 501{n),

or 4947(a)(1) Nonexempt Charitable Trust

Supplementary Information-(See separate Instructions.) I I

Other Than

NPTHAMZAIS 0510,1/20011 ~:4' rM 1"'\1 "

2007 Employer Identification number

tb) (c) Compeosatlorl

NONE

NONE

Total number of others receiving over $50,000 for

NONE

(List each contractor who .1

Total number of other contractors receiving over

For Paperwork A"

OM

more than S50,000

services other than professional services, whether individuals or "

Form 990 and Form 990-El. Schedule A (Form 990 or 990-EZ) 2007

Page 11: Inl~alcdn.masjidhamzah.com/masjid_hamzah_com/documents/...• Section 501(c)(3) organlzatlonslnd 04947(al(1) nonexempt chlrltabla truats rnLJ'l attach a completed Schedule It. (Foml

Statements About Activities (See page 2 of the instructions.)

1 During the year, has the organization attempted to I, state, or local legislation, including any

attempt to Influence pubWc opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid

NPTHAMlAIS O5KI11200S 3:47 PM Pg 12

Yea No

or Incurred in connection with the lobbying activities ... $ (Must equal amounts on line 3B,

Part VI-A, or line I of Part VI-B.) .

Q"ganizations that made an election under section 501 (h) by filing Form 5768 must complete Part Vt-A. other

organizations checking ''Yes'' must complete Part VI-B AND attach a statement giving a deta~ed description of

the lobbying activities.

2 During the year, has the organization, either directly or Indirectly, engaged in any of the following acta with any

substantial contributors, trustees, directors, officers, creators, key employees, or members oflheir families, or

wilh any taxable organization with which any such person is affiliated as an officer, director, trustee, majority

owner, or principal beneficiary? (If the answer to any question is ''Yes,'' attach a detailed statement explaining the

transactions.)

8 Sale, exchange, or leasing of property?

b Lending of money or other extension of credit?

c Furnishing of goods, servicea, or facilities? .

d Payment of compensation (or payment or reimbursement of expenses If more\tlan $1,OOO)?

e Transfer of any part of Its income or assets?

38 Did the organization make grants for scholarships, fellowships, student loans, etc.? (If ''Yes,'' attach an explanation

of how the organization determines that recipients qualify to receive paymenls.)

b Did the organlzalion have a section 403{b) annuity plan for ils employees? .

c Did the crganization receive or hold an easement for conservation purposes, Includl n{l easements to preserve open

space, the environment, historic land areas or historic structures? If 'Yes: attach a detailed statement.

d Old the organization provide crectt counseling, debt management, credit repair, or debt negotiation services? .

4. Did the organization maintain any donor advised funds? If "Yes," complete lines 4b through 4g. If "No," complete lines 4f and 4g

b Did the organlzatlon make any taxable distributions under section 4966?

c Did Ihe organization make a distribution to a donor, donor advlsor, or related person? .

dEnier the total number of donor advised funds owned at the end of the tax year.

e Enter the aggregate value of assels held in aM donor advised funds owned at the end of It"e tax year

f Enter the total number of separate funds or accounts owned at the end oflhe tax year (excluding donor advised

funds induded on line 4d) where donors have the right to provide advice on the distribution or Investment of

amounts In such funds or accounts

g Enter Ihe aggregate value of assets held in all fUMS or eccounts included on line 4f 131 the end of the tax year.

OM

o

o

Schedule A (Form 990 or 990-EZ) 2007

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NPTHAMZAI$ D510112oo8 3:47 PM Pg l'

Schedu!eA (Form 990 or 990-EZ) 2007 8.AMZAH ISLAMIC CEN'1'ER, INC. 42-1675326

!~l~bW Reason for Non-Private Foundation Status (See pages 4 through 8 of the instructions.)

I certHt.!,hat the organization is not a private foundatlOl1 because it is: (Please check only ONE applicable box.)

5 U A church, convention of churches, or assocla~ion of churches. Section 170(b)(1)(A)(i).

6 D A school. Section 170(b)(I)(A)(II). (Also comp!ete Part V.)

7 D A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).

6 D A federal, state, or local government or governmental unit. Section 170{b)(I)(A)(v).

9 D A medical research organization operated In conjunction with a hospital. Section 170(b)(I)(A)(iii). Enter the hospital'. name, city,

and .tate iii-

10 D An organization oparated for the benefit of e college or university owned or operated by a governmental unit. Section 170(b)(1 )(A)(iv).

(Also complete the Support. Schedule in Part IV-A.)

11a D An organization that normally receives a substantial part of its support from a governmental unit or from the general public. Section

170(b)(I)(A)(vi). (Also complete the Support Schedule in Part IV-A.)

lIb 0 A community trust. Section 170(b)(I)(A)(vi). (Also complete the Support Scheduie in Part IV-A.)

12 0 An organization thai normally receives: (1) more than 33 113% of its support from contributions, membership fees, and gross receipts

from activities related to its charitable, etc., functions-subject to certain exceptions, and (2) no mora than 33 113% of its support

from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the

organization after June 30, 1975. See section 509(a){2). (Also complete the Support Schedule in Part IV-A.)

13 D An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the

requirements of section 509{a){3). Check the box that describes the type of supporting organization:

o Type I o Type n o Type lit-Functionally Integrated o Type III-Other

Provide the followlna information about the aUDDortad oraanizations. See nane 8 of the instructions.

(a) (') (.) (')

Page 3

(.)

Nama(s} of supported organlzatlon(s) Employer Type of Is the supported Amount of

Identification organization orgenlzatlon listed In support

number (EIN) (described In linea the supporting

5 through 12 organization'.

above or IRe governing documents?

section)

Yo No

Total. .... . .......... ~

14 0 An organization organized and operated to test for public safety. Section 509(a)(4). (See page 8 of the instructions.)

Schedule A (Form 990 or 990-EZ) 2007

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16"?~S 05/0112008 3:47 PM Pi 14 Schedule A (Form 990 or 99O-EZ) 2007 i.-IAMZAH ISr....xMIC CEN"l'ER, :INC. 42 - Page

l1A_ttlXlfitl Support Schedule (Complete only i! YGU checked a box on line 10, 11, or 12.) Us. cash method of accounting.

I

15 GiftI,. grants, and contributiona reeelVed. (00

I

17 GrOliI receipts from admi .. lonl, merc:handise

lold or aervicel performed, or fyrnlshlng of

laclllt~1 In any activity that is related to tha

18 Gross income from intereat, dividends.

amounts r&eeived from payments OIl 88curHie'

loan. (aeetlon 512(a)(5)), rents, royll~e.,

Income from Similar 10Urc8., and unrelattld

bu.lness taxable income (leI. section 511

taxes) from bualne'lel acquired by the

19 Net Income from unllliated bullne ..

i I

20 Tax IlIvenue.levied for the organization',

benefrt and either paid to ~ or axpended on

21 The value of service, orfaelllUes fumiahed to the organization by a governmental unit without . Do not Indude the value of

I "

I I

28 Organizations deacrlbed on IintHl10 or 11: a Enter 2% of amount in column (e), line 24

b Prepare a list for your records to show the narne of and amount contributed by each person (other than a

governmental unit or publicly supported organization) whose total gifts for 2003 through 2006 exceeded the

amount shown in Une 26a. Do not Hie this lIat wit" your return. Enter the totel of all these excess amounts .

c Total support for section 509(a}(1} test: Enter .·ne 24, column (e)

d Add: Amounts from column (e) for lines: 18 19 22

e Public support (line 26c minus line 26d total)

I

260

27 Organizations described on line 12: a For amounts Indutled in fines 15, 16, and 17 that were received from a "disquelified

person," prepare a list for your records to show the neme of, and total amounts received in each year from, each "disqualified person."

Do not tile this nat with your return. Enter the sum of such amounts for each year:

(2006) (2005) . (2004) (2003) ...

b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to

show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the yeer or {2l $5,000.

(Indude in the list organizations described in lines 5 through 11 b, as well as individuals.) Do not Hie this list with your return. After computing

the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess

amounts) for each year:

(2006)

c Add: Amounts from column (e) for lines:

17

d Add: Line 27a total

(2005)

15

2C

a Public support (line 27c total minus line 27d total)

and line 27b total

16

21

(2004)

f Total support for seclion 509(a)(2) test: Enter amount from line 23, column (e) ~

g Public support percentage (lina 27e (numerator) divided by line 27f (denominator)) .

I I I

(2003)

28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2003 through 2006,

prepare a list for your records to show, for eacll year, the name of the contributor, the date and amount of tha grant, and a brief

description of the nature of the grant. Do not file this :!st with your return. Do not include these grants in line 15.

N/A

N/A

Schedule A (Form 990 or 990-EZ) 2007 OM

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Private School Questionnaire

29 Does the organization have a racially nondiscrimila!ory poley toward students by statement in Its charter, bylaws,

other governing instrument, or in a resolution of Its governing body? .

30 Does the organixation include a statement of its racially nondiscriminatory policy toward students in alills

brochures, catalogues, and other written communications with the public deaKng with student admissions,

programs, and scholarships?

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during

the period of solicitation for students, or during the registration period If 11 has no sollcllation program, in a way

that makes the policy known to all parts ofihe general community it seNes? ,.

If "Yes," please describe; if "No, "please explain. (If you ;'lead more space, attach a separate statement.)

32 Does the organization maintain the following:

• RecordS indicating the racial composition oHhe s"Jdent body, faculty, and administrative staff?

b Records documenting that Scholarships and other financlal assistance are awarded on a racially nondiscriminalOI)'

basis?

c Copies of all catalogues, brochures, announcements, and other written communications 10 the public dealing

with student admissions, programs, and scholarships?

d Copies of all material used by the organization or on Its behalf to solicit contributions? .

If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.)

33 Does Ihe organization discriminate by race in any way with respect 10:

a Students' rights or privileges? . ,

b Admissions policies?

c Employment of faculty or administrative staff?

d Scholarships or other financial assistance?

a Educational policies?

f Use of facillUes?

9 Athletic programs?

h Other extracurricular activities?

If you answered "Yes" 10 any of the above, please explain. <If you need more space, attach a separate statement)

. . . . . . . . . . . . . . . .

34a Does the organization receive any financial aid or as~,stance from a governmental agency?

b Has the organization's right to such aid ever been reVOKed or suspended? .

If you answered 'Yes" to either 34a or b, please explain using an attached statement.

35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05

OM

NPTHAMZAIS 05/O~120011 ~:4f I"M 1"11 I~

I A (Form 990 or 990-EZ) 2007

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Limite on Lobbying Expenditures

38 Total lobbying expenditures to influence public opinion (grassroots lobbying) .

37 Total lobbying expenditures to influence a legislative body (direct lobbying) •..

38 Tota! lobbying expenditures (add lines 36 and 37) .

39 Other exempt purpose expendltures .

40 Total exempt purpose expenditures (add lines 38 and 39)

41 Lobbying nontaxable amount. Enter the amount from the following table-

If the amount on line 40 11- The lobbying nontaxable amount 11-

Not over $500,000 . . . . . . . . . . 20% of the amount on line 40 . ' .. } Over $500,000 but not over $1,000,000 $100,000 plus 15%ofthe excess over $500,000

OVer $1,{)OO,000 but not over $1,500,000 . $175,000 plus 10% of the excess 0Je( $1,000,000 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 '.

OVer$17,00O,OOO $1,000,000

42 Grassroots nontaxable amount (enter 25% of line 41)

43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36

44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38

Ii Period Under Section 501 (h)

NPTHAMZAlS 0510112008 3:47 PM Pg 16

I.

To be completed lor .lleleeting orgenization..

(Some organizations thet made a section S01(h) election do not have to complete all of the five columns below.

See the instructlons for lines 45thro.!!Q..h 50 o~ 13 olthe instructions.)

Lobbying Expendlturn During 4.Year Averaging Period

Calendar year (or

fiscal vear bealnnin In\ ...

45 Lobbyi!}g nontaxable amount .. ""-"LO~b"b"y"m',"",='m~og='m"","'oC'''(''15::0::%:'"-OI:'"-4 ,

49 Grassroots ceiling amount (150% of

I

(a)

2007

Lobbying Activity by Nonelectlng

(0)

2006

(0)

2005

During the year, did the organization attempt to Influence national, state or local legislation, Including any

attempt to influence public opinion on a legislative matter or referendum, through the use of:

a Volunteers

b Paid staff or management (Include compensation in expenses reported on lines c through h.1

c Media advertisements

d Mailings to members, legislators, or the public

e Publications, or published or broadcast statements

f Grants to other organizations for lobbying purposes.

g Direct contact with legislators, their staffs, government officials, or a legislative body .

h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means

Total lobbying expenditures (Add lines c through tl.) .

If ''Yes'' to any of the above, also attach a statemer.t givin9 a detailed descrlptlon ofthe lobbying activities.

OM

(d)

2004

(.)

Total

Schedule A (Fann 990 or 99Q.EZ) 2007

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NPTHAMZAIS 0510112008 3:47 PM P" 17

Relationships

51 Old the reporting organization directly or Indirectly e'lgage in any of the following wilh any other organization described In seclion

501(c) of Ihe Code (other than section 501 (c)(3) organizational or in section 527, relating 10 polilical organizations?

a Transfers from the reporting organization 10 a nonchsrilable exempt organization of:

(I) Cash

(11) Other assets

b Other transactions:

(I) Sales or exchanges of assets with a noncharitable exempt organization.

(II) Purchsses of assets from a noncharitable exempt organization

(iii) Rental of facilities, equipment, or other assets

(Iv) Reimbursement arrangements

(v) loana or loan guarantees.

(vi) Performance of services or membership or fund raising solicitations.

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees

d If the answer 10 any of Ihe above is "Yes,fl complete the folJowing schedule. Column (b) should always show Ihe fair market value of Ihe

goods, other assels, or services given by the reporting organization. If the organlzallon received less Ihan fair market value in any

transaction or sharinn arra""ement show in column Id lhe value of the noods other assels or services received:

I.) Ib) I') ")

V" 51. I

.1111

., '" bill

'IIv) 'M blvl ,

Line no. Amount Involved Name of noncharilable exempt organization De,etlplion of lran,fen. trannction., and tharing arrangements

N/A

528 Is Ihe organization directly or Indirectly affiliated with, or related 10, one or more tax-exempt organizations

described in section 501(c) of the Code (other then section 501 (c)(3)) or in section 5271

• If "Yes fl comolele Ihe foUowioo schedule:

I') Ib) Name of organization Type 01 OI"ganlzaUon

N/A

I') DMcIipUon of relatlo!1.hlp

No X X

X X X X X X X

Schedule A (Form 990 or 990-Ell 2007

DM

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NPTHAUZAIS 05,/0112008 3:47 PM Pg1B

Schedule B (Form 990, 990-EZ,

• or 990-PF) Dllpartmlllnt of the Trealury Internel Revenue Service

Schedule of Contributors Supplemantary Information for

IIna 1 of Form 990, 990-&, and 990-PF (sao Instructlona)

OMB No. 1545-0047

2007 Name of organization Employer Identification numbar

HAMZAH iSLAMIC CENTER iNC. Organization type (check one).

Fliers of: Section:

Form 990 or 990-EZ ~ 501(c)( 3) (enter number) organization

o 4947(8)(1) nonexempt charitable trust not treated as a private foundation

D 527 potitical organization

Form 990-PF o 501(c)(3) exempt private foundation

o 4947(a)(1) nonexempt charitable trust treated as a private foundation

o 501 (c)(3) taxable private foundation

Check If your organizaUon is covered by the Ganersl Rule or a Spacial Rute. (Nota: Only a section 501(c)(7), (8), or (10)

organization can check boxes for both the General Rule and a Special Rule--6ee instructions.)

General Rut_

~ For organizations filing Form 990, 990·EZ, or 990-PF that received, during the year, $5,000 or more (In money or

property) from anyone contributor. (COmplete Parts I and II.)

Special Rulas-

42-1675326

o For a section 501(c}(3) organization filing Form 990, or Form 990-EZ, that met the 33 113% support test of the regulations

under sections 509(a}(1)1170(b)(I}(A}(vl), and received from anyone contributor, during the year, a contribution of the

greater of $5,000 or 2% of the amount on line 1 of these forms. (Complete Parts I and 11.)

o For a section 501 (c)(7), (8), or (10) organization filing Form 990, or Form 990·EZ, that received from any one contributor,

during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable,

scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. (Complete Parts I, II, and III.)

o For a section 501(c)(7), (8), or (19) organization filing Form 990, or Form 990-EZ, that received from any one contributor,

during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contributions dkl

not aggregate to more than $1,000. (If this box is checked, enter here the total contributions that were received during

the year for an exclusively religious, charitable, etc., purpose. Do not complete any of \he Parts unless the General Rula

applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more during the year.) . .... $ ________ _

Caution: Organizations that are not covered by the General Rule andlor the Spacial Rules do not file Schedule B (Form 990,

990-EZ, or 990-PF), but they must cheek the box in the headin9 of their Form 990, Form 990-EZ, or on line 2 of their Form

990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

For Paperwork Reductlon Act Notlcs, sss tile Instructlone for Form 990, Form 990-EZ, and Form 990·PF.

OM

Schedule B (Form 990, 990..ez, or 990-PF) (2007)

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Schetlule B Form 990 990-EZ or 990-PF 2007 Name of organlzatlon

HAMZAH ISLAMIC CENTER INC.

~Mr~ Contributors (See Specific Instructions.) .

(.) (b)

No. Nama address and ZIP +" 1 ALEC N. EICHAHAL -- 3895 JOHNS CREEK PARKWAY

SUWANEE GA 30024

(0) (b)

No. Name addrus and ZIP +" 2 -- ADBUL QURESHI

2840 GLASTON WAY

ALPHARETTA GA 30004

(.) (b)

No. Name address and ZIP +" 3 BILAL FAKHORI -- 9915 AUTRY FALLS DRIVE

ALPHARETTA GA 30022

(0) (b) No, Name address and ZIP + 4

4 DATASET, INC. --7138 BELCREST DR

DULUTH GA 30097

(0) (b)

No. Name address and ZIP + 4

5 DAVID Y. ALHANAITI -- 13245 CARIS COURT

ALPHARETTA GA 30004

(0) (bJ

No. Nama address a:1d liP + 4

6 KHALID A. RANIED --NEDA A.

ROAD 3C )22

OAA

NPTHAMZAIS 0,5/0112008 3:47 PM Pg 19

Pa e 1 of 2 of Part I

Employer Identification number

42-1675326

(0) (d)

A re ate contributions Tvoe of contribution

Person

~ Payroll

$ 10,000 Noncash

(Complete Part II if there is

a noncash conlribution.)

(0) (d)

Aggregate contributlon& Type of contribution

Person

~ Peyroll

$ 15,000 Noncash

(Complete Part II If there Is

a noncash conbibuUon.)

(0) (d)

Aaareaate contributions Tvoe of contribution

Person

~ Payroll

$ 6,245 Noncash

(Complete Part II if there Is

a noncash conbibutlon.)

(0) (d)

Aggregate contributions Type of contribution

Peraon

~ Payroll

$ 8,333 Noncash

(Complete Part II if there is

a noncash contribution.)

(0) (d)

Aaareaate contributions Tvoa of contribution

Person

~ Payroll

$ 5,000 Noncash

(Comptete Part II if there is a noncash contribution.)

(0) (d)

Aa~regate contributions TYpe of contribution

Person

~ Payroll

$ 5,000 Noncash

(Complete Part II if there Is

a noncash contribution.)

Schedule B (Form S90, 99O-EZ, or 980-PF) (2007)

amurrie
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Schedule B Form 9~O 99()"EZ or 990-P 2007

Name of org.nlzaUon

. HAMZAH ISLAMIC CENTER INC.

(.J No.

7

(.J No.

8

(.J No.

9

(.J No.

10

(.J No.

11

(.)

No.

12

OM

Contributors (See Specific Instructions.)

(OJ Name address and ZIP + 4

MOSTAFA M. EL-SAYED 8203 MASTERS WAY

ALPHARETTA GA 30005

(OJ Name address and Z~P + 4

MOUNA ABDEL-HAMID 570 SAINT REGIS LANE

ALPHARETTA GA 30022

(OJ

Name address and ZIP + 4

SHAFIQ HUSSAIN SABA KHAN 11160 DONNINGTON DRIVE DULUTH GA 30097

(OJ

Name address and ZIP + 4

GA

(OJ

Name address and ZIP + 4

WAHEED A. MALIK, D.D.S.

(OJ

Name address and ZIP + 4

ZEROWIRE TECHNOLOGIES, INC. PMB 154 3719 OLD ALABAMA RD, SUITE 300-G ALPHARETTA GA 30022

NPTHAMZAIS 0~0112008 3:47 PM Pg 2

Pa e 2 of 2 ofP.rtl

Employer Identification number

42-1675326

('J AnnMllat. contrlbutlona

• ___ -'5,..,,,2"'0"'-0

('J A reaate contribution.

$ ___ -'5,..,,,0'-'0"'-0

('J Aoorenate contributions

$ ___ -'6,..,"'1"'5"'-0

('J A .... re .. ate contributions

• ___ ~1",1,..,,,0,-,0,,,-0

('J Atltlre ate contributions

$ ___ ~1"5,..,,,0,-,0,,,-0

('J Aoorenate contributions

$ ___ -'5"",,,0'-'0"'-0

(dJ Tv.,. of contribution

Person

Payroll

Noncash

(Complete Part II if there Is

a noncash contribution.)

(dJ Type of contribution

Parson

Payroll

Noncash

(Complete Part II if there Is

a noncash contribution.)

(dJ

TYDe of contribution

Person

Payroll

Noncash

(Complete Part II If there Is

a noncash contribution.)

(dJ

Tvae of contribution

Person

Payroll

Noncash

(Complete Part II if there is

a noncash contrbutlon.)

(dJ

Tvoa of contribution

Person

Payroll

Noncash (Complete Part II if there Is

a noncash contribution.)

(dJ

Tvoe of contribution

Parson

Payroll

Noncash

(Complete Part /I if there is

a noncash contribution.)

SChadule B (Form 990, 990-EZ, or 990-PF) (2007)

_._------

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