FORM 1023-EZ for ASIAN INDIANS FOR COMMUNITY SERVICEINC

Field Data
EIN 11-3735319
Case Number EO-2015040-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASIAN INDIANS FOR COMMUNITY SERVICEINC
Organization’s Mailing Address 12400 OFALLON STREET
City SILVER SPRING
State MD
ZIP 20904
Accounting period End 12
Primary contact name SAM MUKHERJEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAR SWARUP SINGH
CHAIRMAN
4926 ANDREA AVE
ANNANDALE VA 22003

Officer/Director/Trustee Two

SURESH K GUPTA
PRESIDENT
109 AUTUMN WIND WAY
ROCKVILLE MD 20850

Officer/Director/Trustee Three

SAM MUKHERJEE
VICE PRESIDENT
12400 OFALLON STREET
SILVER SPRING MD 20904

Organization’s website WWW.AICSCARE.ORG
Organization’s email AICSCARE@AICSCARE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2004
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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