FORM 1023-EZ for CHARUTAR HEALTH FOUNDATION CORP

Field Data
EIN 81-4470297
Case Number EO-2017058-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARUTAR HEALTH FOUNDATION CORP
Organization’s Mailing Address 1141 GREEN STREET
City ISELIN
State NJ
ZIP 08830
Accounting period End 12
Primary contact name MANHER SHAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANHER SHAH
TRUSTEE
1141 GREEN ST
ISELIN NJ 08830

Officer/Director/Trustee Two

DINESH PATEL
TRUSTEE
1141 GREEN ST
ISELIN NJ 08830

Officer/Director/Trustee Three

THOMAS CARTER
TRUSTEE
1141 GREEN ST
ISELIN NJ 08830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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