FORM 1023-EZ for SHIVRAMVEELEENA

Field Data
EIN 82-5475139
Case Number EO-2018140-000005
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIVRAMVEELEENA
Organization’s Mailing Address 5714 GENTRY COURT
City LONG GROVE
State IL
ZIP 60407
Accounting period End 12
Primary contact name LEENA TRIPATHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIVANI TRIPATHI
DIRECTOR
4909 LACLEDE AVE APT 904
ST. LOUIS MO 63108

Officer/Director/Trustee Two

VEENA TRIPATHI
DIRECTOR
1800 S WASHINGTON AVE UNIT 443
MINNEAPOLIS MN 55454

Officer/Director/Trustee Three

LEENA TRIPATHI
PRESIDENT/CEO
5714 GENTRY COURT
LONG GROVE IL 60407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 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 LEENA TRIPATHI
Signature Title PRESIDENT/CEO
Signature Date 5/15/18

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