FORM 1023-EZ for SHIV FOUNDATION NFP

Field Data
EIN 87-1836537
Case Number EO-2021217-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIV FOUNDATION NFP
Organization’s Mailing Address 205 OAK TREE COURT
City PALOS PARK
State IL
ZIP 60464
Accounting period End 12
Primary contact name DR GODFREY EKHOMU CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BANTU CHHANGANI
PRESIDENT
205 OAK TREE COURT
PALOS PARK IL 60464

Officer/Director/Trustee Two

SHREYA KPARKER
DIRECTOR
205 OAK TREE COURT
PALOS PARK IL 60464

Officer/Director/Trustee Three

ROMA KPARKER
DIRECTOR
205 OAK TREE COURT
PALOS PARK IL 60464

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 BANTU CHHANGANI
Signature Title PRESIDENT
Signature Date 8/3/2021

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