FORM 1023-EZ for EGBOSA USA INC

Field Data
EIN 83-3716449
Case Number EO-2019127-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EGBOSA USA INC
Organization’s Mailing Address 1605 PUTNAM AVENUE APT 5G
City RIDGEWOOD
State NY
ZIP 11385
Accounting period End 12
Primary contact name MOHAN B GYAWALI CHHETRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAN GYAWALI CHHETRI
PRESIDENT
1605
RIDGEWOOD NY 11385

Officer/Director/Trustee Two

SURENDRA LAMA LAMA
MEMBER
2118 MENAHAN ST APT 3
RIDGEWOOD NY 11385

Officer/Director/Trustee Three

SANTOSH SHARMA
MEMBER
539 85TH STREET APT 3D
BROOKLYN NY 11209

Officer/Director/Trustee Four

HARI GHIMIRE
SECRETARY
10068 NAUGHTON CT
BRISTOW VA 20136-3068

Officer/Director/Trustee Five

SANJEEV KARMACHARYA
TREASURER
1633 W BEACH AVENUE
CHICAGO IL 60622

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MOHAN GYAWALI CHHETRI
Signature Title PRESIDENT
Signature Date 5/3/19

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