FORM 1023-EZ for NORTHERN CALIFORNIA ROBOTICS ACADEMY

Field Data
EIN 84-4158008
Case Number EO-2020028-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA ROBOTICS ACADEMY
Organization’s Mailing Address 3711 ADAMS AVE
City FREMONT
State CA
ZIP 94538-4977
Accounting period End 12
Primary contact name DIVYANK SHAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIVYANK SHAH
FOUNDER/CEO
3711 ADAMS AVE
FREMONT CA 94538-4977

Officer/Director/Trustee Two

SANJHEE GUPTA
PRESIDENT
659 STARLITE WAY
FREMONT CA 94539-7645

Organization’s website
Organization’s email NORCALROBOTICSACADEMY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DIVYANK SHAH
Signature Title FOUNDER/CEO
Signature Date 1/25/2020

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