FORM 1023-EZ for PRIYAM GLOBAL INITIATIVE

Field Data
EIN 47-1849985
Case Number EO-2014317-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRIYAM GLOBAL INITIATIVE
Organization’s Mailing Address 729 E ALPINE TRAIL
City BLOOMINGTON
State IN
ZIP 47401-4503
Accounting period End 6
Primary contact name MICHAELA CISNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAELA CISNEY
DIRECTOR
729 E ALPINE TRAIL
BLOOMINGTON IN 47401-4503

Officer/Director/Trustee Two

JOSHUA CISNEY
DIRECTOR
729 E ALPINE TRAIL
BLOOMINGTON IN 47401-4503

Officer/Director/Trustee Three

LAURA BUKOWSKI
DIRECTOR
15933 SYMPHONY BLVD
NOBLESVILLE IN 46060-4298

Organization’s website HTTP://WWW.PRIYAMGLOBAL.ORG
Organization’s email INFO@PRIYAMGLOBAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Donation of funds No
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
Signature Title
Signature Date

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