FORM 1023-EZ for CREATE CIRCLES CORPORATION

Field Data
EIN 84-2438117
Case Number EO-2019305-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATE CIRCLES CORPORATION
Organization’s Mailing Address 2733 TROTTERS LANE
City OWENSBORO
State KY
ZIP 42303
Accounting period End 12
Primary contact name HARSH MOOLANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARSH MOOLANI
PRESIDENT
2733 TROTTERS LANE
OWENSBORO KY 42303

Officer/Director/Trustee Two

ANUPAMA BALASUBRAMANIAN
SECRETARY
6515 WYDOWN BLVD
ST. LOUIS MO 61305

Officer/Director/Trustee Three

JEREMIAH WAYNE
BOARD MEMBER
7447 WEST W H NEGLEY ROAD
HENDERSON KY 42420

Organization’s website WWW.CREATECIRCLES.ORG
Organization’s email INFO@CREATECIRCLES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 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 HARSH MOOLANI
Signature Title PRESIDENT
Signature Date 10/30/19

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