FORM 1023-EZ for TRI VALLEY ROBOTICS

Field Data
EIN 84-4632490
Case Number EO-2020041-000696
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI VALLEY ROBOTICS
Organization’s Mailing Address 4298 ASTOR HOLLOW ST
City SAN RAMON
State CA
ZIP 94582
Accounting period End 12
Primary contact name VENKATA RAMA RAJU KANKIPATI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VENKATA RAMA RAJU KANKIPATI
CHIEF EXECUTIVE OFFICER
4298 ASTOR HOLLOW ST
SAN RAMON CA 94582

Officer/Director/Trustee Two

VENKATA NARAYANA REDDY VUDUMULA
CHIEF FINANCIAL OFFICER
227 SNOWDROP CT
SAN RAMON CA 94582

Officer/Director/Trustee Three

CHANDRA SONI
SECRETARY
1569 BAYBERRY VIEW LN
SAN RAMON CA 94582

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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 VENKATA RAMA RAJU KANKIPATI
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/9/2020

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