FORM 1023-EZ for IGA USA INC

Field Data
EIN 84-3198187
Case Number EO-2019273-000588
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IGA USA INC
Organization’s Mailing Address 4232 82ND ST APT 7B
City ELMHURST
State NY
ZIP 11373
Accounting period End 12
Primary contact name ASEP PURNAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASEP PURNAMA
PRESIDENT
4232 82ND ST APT 7B
ELMHURST NY 11373

Officer/Director/Trustee Two

DEWI EVA MULYA
SECRETARY
7813 46TH AVENUE
ELMHURST NY 11373

Officer/Director/Trustee Three

JAZZ PANGEMANAN
TREASURER
139 E 30TH ST
NEW YORK NY 10016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 ASEP PURNAMA
Signature Title PRESIDENT
Signature Date 9/27/19

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