FORM 1023-EZ for KHALIS INCUBATOR CORP

Field Data
EIN 84-3139048
Case Number EO-2021125-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KHALIS INCUBATOR CORP
Organization’s Mailing Address 142 N MILPITAS BLVD STE 276
City MILPITAS
State CA
ZIP 95035
Accounting period End 12
Primary contact name PREBHDEV SINGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANJOT SINGH
PRESIDENT
241 SHRIKE CIRCLE
SACRAMENTO CA 95834

Officer/Director/Trustee Two

PREBHDEV SINGH
TREASURER
5664 E FLORENCE AVE
FRESNO CA 93727

Officer/Director/Trustee Three

BALWINDER KAUR
SECRETARY
35225 NOEL PLACE
FREMONT CA 94536

Organization’s website WWW.KHALIS.INFO
Organization’s email TECHSUPPORT@KHALIS.INFO
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 PREBHDEV SINGH
Signature Title TREASURER
Signature Date 5/3/2021

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