FORM 1023-EZ for JEEVAN VIGYAN

Field Data
EIN 85-3125130
Case Number EO-2020288-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEEVAN VIGYAN
Organization’s Mailing Address 15000 GOSSOM MANOR PL
City HAYMARKET
State VA
ZIP 20169
Accounting period End 12
Primary contact name MADHUSUDAN PANTHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MADHUSUDAN PANTHI
PRESIDENT
15000 GOSSOM MANOR PL
HAYMARKET VA 20169

Officer/Director/Trustee Two

MINA PANTHI
VICE PRESIDENT
15000 GOSSOM MANOR PL
HAYMARKET VA 20169

Officer/Director/Trustee Three

SHIVA LAMICHHANE
SECRETARY
7887 BLUE GERY CIR
MANASSAS VA 20109

Officer/Director/Trustee Four

KAMALA KHAREL
TREASURER
15013 GOSSOM MANOR PL
HAYMARKET VA 20169

Officer/Director/Trustee Five

TILAK KHAREL
MEMBER
15013 GOSSOM MANOR PL
HAYMARKET VA 20169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 TILAK KHAREL
Signature Title MEMBER
Signature Date 10/12/2020

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