FORM 1023-EZ for HAIFA CLINIC INC

Field Data
EIN 83-2854296
Case Number EO-2019029-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAIFA CLINIC INC
Organization’s Mailing Address 1009 DRESSER CT
City RALEIGH
State NC
ZIP 27609
Accounting period End 12
Primary contact name NEDDA IBRAHIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEDDA IBRAHIM
DIRECTOR
1009 DRESSER COURT
RALEIGH NC 27609

Officer/Director/Trustee Two

NASREEN ANAZLEH
DIRECTOR
1009 DRESSER COURT
RALEIGH NC 27609

Officer/Director/Trustee Three

AYSAR DRABICK
DIRECTOR
736 TREVISO LN
APEX NC 27502

Officer/Director/Trustee Four

FALSTEEN ANAZLEH
DIRECTOR
1009 DRESSER COURT
RALEIGH NC 27609

Officer/Director/Trustee Five

NADIA DRABICK
DIRECTOR
1916 WESCOTT DR
RALEIGH NC 27614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NEDDA IBRAHIM
Signature Title DIRECTOR
Signature Date 12/17/18

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