FORM 1023-EZ for CHARITABLE MEDICAL MISSIONS INC

Field Data
EIN 46-5593610
Case Number EO-2017135-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARITABLE MEDICAL MISSIONS INC
Organization’s Mailing Address 9803 OLD ST AUGUSTINE RD
City JACKSONVILLE
State FL
ZIP 32257
Accounting period End 7
Primary contact name MAJED HASSAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAJED HASSAN
DIRECTOR
9803 OLD ST AUGUSTINE RD SUITE 1
JACKSONVILLE FL 32257

Officer/Director/Trustee Two

RAJAI KHOURY
DIRECTOR
9803 OLD ST AUGUSTINE RD SUITE 1
JACKSONVILLE FL 32257

Officer/Director/Trustee Three

BAJIS KETWAN
DIRECTOR
9803 OLD ST AUGUSTINE RD SUITE 1
JACKSONVILEE FL 32257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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