FORM 1023-EZ for SPECIAL INTENTION INC

Field Data
EIN 82-2042067
Case Number EO-2017208-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPECIAL INTENTION INC
Organization’s Mailing Address 21503 RIPKEN COURT
City MURFREESBORO
State TN
ZIP 37129
Accounting period End 12
Primary contact name SCOTT THUNDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT THUNDER
PRESIDENT AND SECRETARY
1503 RIPKEN COURT
MURFREESBORO TN 37129

Officer/Director/Trustee Two

MARTHA LARA THUNDER
TREASURER
1503 RIPKEN COURT
MURFREESBORO TN 37129

Officer/Director/Trustee Three

SETH THUNDER
BOARD MEMBER
1455 S 3RD APT D4
LOUISVILLE KY 40208

Officer/Director/Trustee Four

BRAJENDRA KOURI
BOARD MEMBER
SIMILIPADA CHURCH LANE
ANGUL ODISHA INDIA AA 75912

Officer/Director/Trustee Five

SURANJIT BARDHAN
VICE PRESIDENT
SIMILIPADA CHURCH LANE
ANGUL ODISHA INDIA AA 75912

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
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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