FORM 1023-EZ for TOLEDO ASIAN AMERICAN PHYSICIANS OFINDIAN ORIGIN INC

Field Data
EIN 82-4385037
Case Number EO-2018150-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOLEDO ASIAN AMERICAN PHYSICIANS OFINDIAN ORIGIN INC
Organization’s Mailing Address 4158 BACK RIDGE WAY
City MONCLOVA
State OH
ZIP 43542
Accounting period End 12
Primary contact name ANJANA SAMADDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANJANA SAMADDER
DIRECTOR, TREASURER

COLUMBUS OH 43213

Officer/Director/Trustee Two

SHARDA DAS
DIRECTOR
4158 BACK RIDGE WAY
MONCLOVA OH 43542

Officer/Director/Trustee Three

ARJUN DAS
DIRECTOR AND PRESIDENT
4158 BACK RIDGE WAY
MONCLOVA OH 43542

Officer/Director/Trustee Four

NARENDRA KUMAR
DIRECTOR
4158 BLACK RIDGE WAY
MONCLOVA OH 43542

Officer/Director/Trustee Five

MURTHY GOKULA
DIRECTOR
4158 BLACKRIDGE WAY
MONCLOVA OH 43542

Organization’s website
Organization’s email GAUTAMSAMADDER@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANJANA SAMADDER
Signature Title DIRECTOR, TREASURER
Signature Date 5/24/18

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