FORM 1023-EZ for LEADERSHIP BUILDING ACADEMY

Field Data
EIN 81-4077680
Case Number EO-2016349-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP BUILDING ACADEMY
Organization’s Mailing Address 2098 WALSH AVE SUITE B
City SANTA CLARA
State CA
ZIP 95050
Accounting period End 12
Primary contact name SANTOSH GIRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISHNA CHHETRI
PRESIDENT
12 ROWAN WAY
MILL VALLEY CA 94941

Officer/Director/Trustee Two

MENUKA BAN
VICE-PRESIDENT
739 N OAKLAND ST APT 10
ARLINGTON VA 22203

Officer/Director/Trustee Three

DHIREN SAMANT
SECRETARY
1928 GLENBROOK CT
BEDFORD TX 76021

Officer/Director/Trustee Four

BATSAL DEVKOTA
TREASURER
302 PAOLI WOODS
PAOLI PA 19301

Officer/Director/Trustee Five

PRABUDHDA DAHAL
DIRECTOR
15428 PRESCOTT HILL AVE
CHARLOTTE NC 28277

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
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 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 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
Signature Title
Signature Date

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