FORM 1023-EZ for SPECIALNEEDS360 INC

Field Data
EIN 81-2418048
Case Number EO-2016120-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPECIALNEEDS360 INC
Organization’s Mailing Address 2374 STONE FENCE LANE
City HERNDON
State VA
ZIP 20171
Accounting period End 12
Primary contact name LAX CHEPURI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KOWSHIK CHEPURI
CEO
2374 STONE FENCE LANE
HERNDON VA 20171

Officer/Director/Trustee Two

KIRANMAI KESA
DIRECTOR
2374 STONE FENCE LANE
HERNDON VA 20171

Officer/Director/Trustee Three

LAXMINARASIMHA CHEPURI
DIRECTOR
2374 STONE FENCE LANE
HERNDON VA 20171

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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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