FORM 1023-EZ for INDIAN AMERICAN MEDICAL ASSOCIATIONINC

Field Data
EIN 47-1398031
Case Number EO-2014342-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAN AMERICAN MEDICAL ASSOCIATIONINC
Organization’s Mailing Address 33 FRANKLIN DR
City VOORHEES
State NJ
ZIP 08043
Accounting period End 12
Primary contact name SANJAY GUPTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANJAY GUPTA
PRESIDENT, DIRECTOR
33 FRANKLIN DR
VOORHEES NJ 08043

Officer/Director/Trustee Two

VIKAS KHURANA
SECRETARY, DIRECTOR
110 CETON CT
BROOMALL PA 19008

Officer/Director/Trustee Three

JAGAN KAKARALA
TREASURER, DIRECTOR
2991 OMLESAAD DR
ANN ARBOR MI 48105

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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