| Field | Data |
|---|---|
| EIN | 87-0920897 |
| Case Number | EO-2021225-000071 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MERCY FOR SOCIAL AND MEDICAL SERVICES |
| Organization’s Mailing Address | 3835 E THOUSAND OAKS BLVD STE R-218 |
| City | WESTLAKE VILLAGE |
| State | CA |
| ZIP | 91362 |
| Accounting period End | 12 |
| Primary contact name | SHADY TOMA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
NABIL WISA
CEO
2812 BLAZING STAR DRIVE
THOUSAND OAKS CA 91362
SAM HANNA
CFO
1494 ROBERTSON BLVD
LOS ANGELES CA 90035
MIRNA BOKTOR
SECRETARY
216 W COLORADO BLVD
MONROVIA CA 91016
RANIA RAFLA
BOARD MEMBER
3431 FAIRGREEN LN
PALMDALE CA 93551
ASHRAF SAMIR
BOARD MEMBER
564 E CAMBERT ST
SAN DIMAS CA 91773
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/6/2021 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | 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 | NABIL WISA |
| Signature Title | CEO |
| Signature Date | 8/11/2021 |
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