FORM 1023-EZ for TRI-STATE UMIYA DHAM OF CINCINNATI

Field Data
EIN 81-0793011
Case Number EO-2015351-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-STATE UMIYA DHAM OF CINCINNATI
Organization’s Mailing Address 6406 THORNBERRY CT 220A
City MASON
State OH
ZIP 45040
Accounting period End 12
Primary contact name SATISH GANGAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HASMUKHBHAI PATEL
SECRETARY
8462 ETHAM COURT
FAIRFIELD OH 45014

Officer/Director/Trustee Two

RAKESH PATEL
PRESIDENT
5945 FURLONG WAY
LIBERTY TWP OH 45011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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