FORM 1023-EZ for ANIL BHARTI PATIL FAMILY FOUNDATIONINC

Field Data
EIN 81-1020461
Case Number EO-2016098-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANIL BHARTI PATIL FAMILY FOUNDATIONINC
Organization’s Mailing Address 118 BAGATELLE ROAD
City MELVILLE
State NY
ZIP 11747
Accounting period End 12
Primary contact name ANIL PATIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANIL PATIL
DIRECTOR
118 BAGATELLE ROAD
MELVILLE NY 11747

Officer/Director/Trustee Two

BHARTI PATIL
DIRECTOR
118 BAGATELLE ROAD
MELVILLE NY 11747

Officer/Director/Trustee Three

SIDDANA GOUDA
DIRECTOR
524 SANDY WHISPERS PLACE
CARY NC 27519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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