FORM 1023-EZ for PALLIUM INDIA INC

Field Data
EIN 47-4504650
Case Number EO-2015253-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALLIUM INDIA INC
Organization’s Mailing Address 37 HAPPY VALLEY ROAD
City BEARSVILLE
State NY
ZIP 12409-5720
Accounting period End 12
Primary contact name LEONARD EASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEONARD EASTER
ASSISTANT SECRETARY
29 ABRUYN STREET
KINGSTON NY 12401-5603

Officer/Director/Trustee Two

SHALINI VALLABHAN
DIRECTOR
60 WADSWORTH STREET
CAMBRIDGE MA 02142-1336

Officer/Director/Trustee Three

JERINA KAPOOR
DIRECTOR
14570 HORSESHOE DRIVEW
SARATOGA CA 95070-5984

Officer/Director/Trustee Four

KEMP BATTLE
DIRECTOR
37 HAPPY VALLEY ROAD
BEARSVILLE NY 12409-5720

Officer/Director/Trustee Five

M R RAJAGOPAL
DIRECTOR
367 HAPPY VALLEY ROAD
BEARSVILLE NY 12409-5720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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 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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