FORM 1023-EZ for SYRIAN AMERICAN CIVIC CULTURAL ASSOCIATION

Field Data
EIN 30-0996938
Case Number EO-2017292-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYRIAN AMERICAN CIVIC CULTURAL ASSOCIATION
Organization’s Mailing Address 862 WEST HIGH POINT DRIVE
City CLAREMONT
State CA
ZIP 91711
Accounting period End 12
Primary contact name RON VERA - ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRIEL KARTOUCH
PRESIDENT
P O BOX 834
GLENDORA CA 91740

Officer/Director/Trustee Two

SALEEM SALEH
SECRETARY
1410 SAN PONTE RD
CORONA CA 92882

Officer/Director/Trustee Three

IHSAN KAYALI
TREASURER
364 KNIGHT WAY
LA CANADA CA 91011

Officer/Director/Trustee Four

ADNAN ASWAD
DIRECTOR
862 WEST HIGH POINT DRIVE
CLAREMONT CA 91711

Officer/Director/Trustee Five

MAJID TAYYARAH
DIRECTOR
269 E MIRAMAR
CLAREMONT CA 91711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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