FORM 1023-EZ for IRAQI AMERICAN CANCER NETWORK INC

Field Data
EIN 84-2238936
Case Number EO-2019331-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IRAQI AMERICAN CANCER NETWORK INC
Organization’s Mailing Address PO BOX 620793
City MIDDLETON
State WI
ZIP 53562-793
Accounting period End 12
Primary contact name AHMED AL-NIAIMI MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AHMED N AL-NIAIMI MD
PRESIDENT/DIRECTOR
600 HIGHLAND AVE OFFICE H4 636
MADISON WI 53792

Officer/Director/Trustee Two

ZAID AL-WAHAB MD
VICE PRESIDENT/DIRECTOR
8 FAIRMOUNT CT
DEARBORN MI 48124

Officer/Director/Trustee Three

TARIQ A KHEMEES MD
SECRETARY/ DIRECTOR
7642 MID TOWN ROAD
MADISON WI 53719

Officer/Director/Trustee Four

RABBIE KRIAKOSS HANNA MD
TREASURER/DIRECTOR
1810 REIS COURT
ROCHESTER HILLS MI 48309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: No
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 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 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 AHMED N AL-NIAIMI MD
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/25/19

Recently Saved Organizations

Click on the save icon from a search results or organization page.