FORM 1023-EZ for PHILLIP MATHANGANI FOUNDATION

Field Data
EIN 46-5338870
Case Number EO-2016141-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHILLIP MATHANGANI FOUNDATION
Organization’s Mailing Address 398 COUNTRY CLUB LANE
City POMONA
State NY
ZIP 10970
Accounting period End 12
Primary contact name PARAG SHAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PARAG SHAH
OFFICER
4545 CENTER BLVD APT 3014
LONG ISLAND CITY NY 11109

Officer/Director/Trustee Two

LEV TATZ
OFFICER
10-03 48TH AVE APT 3A
LONG ISLAND CITY NY 11101

Organization’s website WWW.PHILLIPMATHANGANI.ORG
Organization’s email FRIENDS@PHILLIPMATHANGANI.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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