FORM 1023-EZ for PALESTINIAN AMERICAN ATHLETIC ASSOCIATION CORP

Field Data
EIN 86-3807764
Case Number EO-2021239-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALESTINIAN AMERICAN ATHLETIC ASSOCIATION CORP
Organization’s Mailing Address 8130 S KOSTNER AVE
City CHICAGO
State IL
ZIP 60652
Accounting period End 12
Primary contact name SAMI MEHDI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMI MAHDI
PRESIDENT
8130 S KOSTNER AVE
CHICAGO IL 60652

Officer/Director/Trustee Two

SAMIR AL-BEITONI
SECRETARY
5840 W 104TH STREET APT 104
OAK LAWN IL 60453

Officer/Director/Trustee Three

ALI ABUHLALEH
DIRECTOR
2254 W BUCKINGHAM APT 2040
GARLAND TX 75042

Officer/Director/Trustee Four

KHADER RANTISI
DIRECTOR
12840 BLOSSOM DRIVE
ALSIP IL 60803

Officer/Director/Trustee Five

YOUSEF ABDULLA
DIRECTOR
6319 BOLCA CHICA LN
HOUSTON TX 77041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 SAMI MAHDI
Signature Title PRESIDENT
Signature Date 8/25/2021

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