FORM 1023-EZ for SAMHATI BENTONVILLE INC

Field Data
EIN 81-4021407
Case Number EO-2021132-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMHATI BENTONVILLE INC
Organization’s Mailing Address 800 WALKER STREET
City CENTERTON
State AR
ZIP 72719
Accounting period End 3
Primary contact name PROTITI GUPTA MUKHERJEEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANJOY CHANDA
DIRECTOR
800 WALKER STREET
CENTERTON AR 72719

Officer/Director/Trustee Two

SOMA GHOSH
DIRECTOR
155C MADISON 7303 C
HUNTSVILLE AR 72740

Officer/Director/Trustee Three

RAJA KALI
DIRECTOR
2522 N WIDERNESS LN
FAYETTEVILLE AR 72703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X70 - Hindu
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SANJOY CHANDA
Signature Title DIRECTOR
Signature Date 5/8/2021

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