FORM 1023-EZ for PROTIMA

Field Data
EIN 47-4656644
Case Number EO-2018128-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROTIMA
Organization’s Mailing Address 6264 STEEPLECHASE PKWY
City WHITEHOUSE
State OH
ZIP 43571
Accounting period End 12
Primary contact name ASISH MUKHERHEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANJOY BANERJEE
DIRECTOR
3541 STILL WATER BLVD
MAUMEE OH 43537

Officer/Director/Trustee Two

ASISH MUKHERJEE
DIRECTOR
7100 OAK BLUFF LANE
TOLEDO OH 43537

Officer/Director/Trustee Three

PRABAL DEY
DIRECTOR
6264 STEEPLECHASE PKWY
WHITEHOUSE OH 43571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/15
Organization Incorporation State OH
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: 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 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 Yes
Correctness Declaration Yes
Signature Name PRABAL DEY
Signature Title DIRECTOR
Signature Date 5/1/18

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