FORM 1023-EZ for MEDITERRAINEAN MOSAICS

Field Data
EIN 82-1577829
Case Number EO-2017150-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDITERRAINEAN MOSAICS
Organization’s Mailing Address 3620 KILLARNEY COURT
City ROLLING MEADOWS
State IL
ZIP 60008-2800
Accounting period End 3
Primary contact name GHAFFAR KAZKAZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASIMER BEZEC
VICE-PRESIDENT
1177 LEE STREET
WHEELING IL 60090

Officer/Director/Trustee Two

AHMAD BASRAWI
SECRETARY
879 PARKSIDE CIRCLE
STREAMWOOD IL 60107

Officer/Director/Trustee Three

GHAFFAR KAZKAZ
PRESIDENT
3620 KILLARNEY COURT
ROLLING MEADOWS IL 60008-2700

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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