FORM 1023-EZ for JIVANSANDHYA INC

Field Data
EIN 85-3518923
Case Number EO-2021015-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIVANSANDHYA INC
Organization’s Mailing Address 4645 W STATE ROAD
City BLOOMINGTON
State IN
ZIP 47403
Accounting period End 12
Primary contact name RAJESH PATEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAJESH PATEL
DIRECTOR
3930 E LARRY WAYNE DR
BLOOMINGTON IN 47401

Officer/Director/Trustee Two

RASHMIN PATEL
DIRECTOR
3930 E LARRY WAYNE DR
BLOOMINGTON IN 47403

Officer/Director/Trustee Three

RUPESH PATEL
DIRECTOR
1800 N WALNUT
BLOOMIINGTON IN 47404

Officer/Director/Trustee Four

SANDEEP SHAH
DIRECTOR
3748 S CLAYBRIDGE DR
BLOOMINGTON IN 47401

Officer/Director/Trustee Five

HETAL PATEL
DIRECTOR
1100 W RAPPEL AVE
BLOOMINGTON IN 47404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAJESH PATEL
Signature Title DIRECTOR
Signature Date 11/25/2020

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