FORM 1023-EZ for LORD JAGANNATH FOUNDATION

Field Data
EIN 83-4400336
Case Number EO-2019114-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LORD JAGANNATH FOUNDATION
Organization’s Mailing Address 862 BOAR CIRCLE
City FREMONT
State CA
ZIP 94539
Accounting period End 12
Primary contact name KASHINATH MITRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KASHINATH MITRA
PRESIDENT
862 BOAR CIRCLE
FREMONT CA 94539

Officer/Director/Trustee Two

SURYA PATTANAIK
SECRETARY
2798 GLAUSER DRIVE
SAN JOSE CA 95133

Officer/Director/Trustee Three

SAROJ MISHRA
CHIEF FINANCIAL OFFICER
43156 PALM PLACE
FREMONT CA 94539

Officer/Director/Trustee Four

SUSANT MOHANTY
DIRECTOR
4523 CAPS VIEW DRIVE
UNION CITY CA 94587

Officer/Director/Trustee Five

KRISHNA MISRA
DIRECTOR
18638 MOUNT LASSEN DRIVE
CASTRO VALLEY CA 94552

Organization’s website WWW.JAGANNATHFOUNDATION.ORG
Organization’s email KASHMITRA@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/19
Organization Incorporation State CA
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: 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 KASHINATH MITRA
Signature Title PRESIDENT
Signature Date 4/22/19

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