FORM 1023-EZ for TAVANA INC

Field Data
EIN 84-1897428
Case Number EO-2020153-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAVANA INC
Organization’s Mailing Address 3895 VILLA COURT
City FAIR OAKS
State CA
ZIP 95628
Accounting period End 7
Primary contact name SAIDEH MALEKAFZALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUPA CHOUDHYRY
TREATURER
2322 PLAYA WAY
GOLD RIVER CA 95670

Officer/Director/Trustee Two

SAIDEH MALEKAFZALI
EXECUTIVE DIRECTOR
5139 MAUNA LOA COURT
FAIR OAKS CA 95628

Officer/Director/Trustee Three

DANIEL ROCKERS
PRESIDENT
245 HARTNELL PLACE
SACRAMENTO CA 95825

Officer/Director/Trustee Four

ALEX ANDRADE
SECRETARY
2715 K ST
SACRAMENTO CA 95816

Organization’s website HTTPS://WWW.THETAVANA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
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 SAIDEH MALEKAFZALI
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/29/2020

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