FORM 1023-EZ for KASHI NIVAS - ANN ARBOR SHIVA YOGAMEDITATION CENTER

Field Data
EIN 47-2174798
Case Number EO-2014303-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KASHI NIVAS - ANN ARBOR SHIVA YOGAMEDITATION CENTER
Organization’s Mailing Address 515 MANOR DR
City ANN ARBOR
State MI
ZIP 48105-1128
Accounting period End 12
Primary contact name JONATHAN PLUMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONATHAN PLUMMER
DIRECTOR CFO
515 MANOR DR
ANN ARBOR MI 48105-1128

Officer/Director/Trustee Two

VICKIE GAYNOR
VP OF OPERATIONS
1619 SHADFORD
ANN ARBOR MI 48104-4464

Officer/Director/Trustee Three

GLENN BURDICK
VP OF RESEARCH
2345 SOUTH HURON PARKWAY
ANN ARBOR MI 48104-5124

Organization’s website HTTP://KASHINIVAS.ORG
Organization’s email ATMARAM@KASHINIVAS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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
Signature Title
Signature Date

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