FORM 1023-EZ for APADA USA

Field Data
EIN 85-2880386
Case Number EO-2020258-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APADA USA
Organization’s Mailing Address 2403 SW 20TH ST
City BENTONVILLE
State AR
ZIP 72713-9439
Accounting period End 12
Primary contact name SAI CHITTEMSETTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAI CHITTEMSETTY
INCORPORATOR / PRESIDENT
2403 SW 20TH ST
BENTONVILLE AR 72713-9439

Officer/Director/Trustee Two

MARY BLALOCK
VICE-PRESIDENT
2012 ALEX DRIVE
JONESBORO AR 72401

Officer/Director/Trustee Three

JACOB ELSER
TREASURER
2467 WORTHINGTON WAY
FAYETTEVILLE AR 72703-4781

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 Yes
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 SAI CHITTEMSETTY
Signature Title INCORPORATOR / PRESIDENT
Signature Date 9/9/2020

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