FORM 1023-EZ for CLAIRVOYANT FOUNDATION

Field Data
EIN 83-2193925
Case Number EO-2018319-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAIRVOYANT FOUNDATION
Organization’s Mailing Address 17813 HARALSON DR
City EDEN PRAIRIE
State MN
ZIP 55347
Accounting period End 12
Primary contact name SUMAN CHAKRABORTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUMAN CHAKRABORTY
PRESIDENT
17813 HARALSON DR
EDEN PRAIRIE MN 55347

Officer/Director/Trustee Two

SAUMYADIP BAGCHI
VICE PRESIDENT
8601 ENDICOTT TR
EDEN PRAIRIE MN 55347

Officer/Director/Trustee Three

SANJOY SENGUPTA
SECRETARY
15626 60TH AVE N
PLYMOUTH MN 55446

Officer/Director/Trustee Four

HARLEEN S SENGUPTA
MEMBER, BOARD OF DIRECTORS
15626 60TH AVE N
PLYMOUTH MN 55446

Officer/Director/Trustee Five

CHAITALI CHAKRABORTY
TREASURER
17813 HARALSON DR
EDEN PRAIRIE MN 55347

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SANJOY SENGUPTA
Signature Title SECRETARY
Signature Date 11/12/18

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