FORM 1023-EZ for DOMA FOUNDATION INC

Field Data
EIN 83-1076086
Case Number EO-2018232-000606
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMA FOUNDATION INC
Organization’s Mailing Address 235 PINE STREET APT 303
City BURLINGTON
State VT
ZIP 5401
Accounting period End 12
Primary contact name DOMA THAPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER DENG
BOARD OF DIRECTOR
265 N WINOOSKI AVE APT 3
BURLINGTON VT 5401

Officer/Director/Trustee Two

DOMA THAPA
FOUNDER AND DIRECTOR
235 PINE STREET APT 303
BURLINGTON VT 5401

Officer/Director/Trustee Three

KIRAN MARAHATTA
BOARD OF DIRECTOR
98-32 57TH AVE APT 10L
CORONA NY 11368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
Organization’s purpose Charitable: No
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 DOMA THAPA
Signature Title FOUNDER AND DIRECTOR
Signature Date 8/18/18

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