FORM 1023-EZ for ANUGRAHA ACT INC

Field Data
EIN 81-3434522
Case Number EO-2016291-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANUGRAHA ACT INC
Organization’s Mailing Address PO BOX 2558
City MERCED
State CA
ZIP 95344
Accounting period End 12
Primary contact name JASON G PINK ATTORNEY-AT-LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN FLUETSCH
PRESIDENT/DIRECTOR
671 E YOSEMITE AVENUE
MERCED CA 95340

Officer/Director/Trustee Two

THOMAS THIPPABATHINI
VP/CFO/DIRECTOR
671 E YOSEMITE AVENUE
MERCED CA 95340

Officer/Director/Trustee Three

JESSIE GUERRERO
SECRETARY/DIRECTOR
44 BARROWS COURT
MERCED CA 95348

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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