FORM 1023-EZ for PRINCETON VISIONARY LIONS CLUB A NJNONPROFIT CORPORATION

Field Data
EIN 82-4085068
Case Number EO-2018170-000003
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRINCETON VISIONARY LIONS CLUB A NJNONPROFIT CORPORATION
Organization’s Mailing Address 206 BLOSSOM CIR
City DAYTON
State NJ
ZIP 8810-2402
Accounting period End 12
Primary contact name MAHESH ADVANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAHESH ADVANI
TRUSTEE
14 BRUNELLESCHI CT
MONMOUTH JUNCTION NJ 8852

Officer/Director/Trustee Two

MAHENDRA PATEL
TRUTEE AND PRESIDENT
4191 US HIGHWAY 1
MONMOUTH JCT NJ 8852

Officer/Director/Trustee Three

PIYUSH PATEL
TRUSTEE AND TREASURER
117 MARION DR
PLAINSBORO NJ 8536

Officer/Director/Trustee Four

RAJESH MEHTA
TRSUTEE AND SECRETARY
24 DEANS LN
MONMOUTH JCT NJ 8852

Officer/Director/Trustee Five

TUSHAR PATEL
TRUSTEE AND VICE PRESIDENT
41 ROCKY HILL RD
PRINCETON NJ 8540

Organization’s website
Organization’s email MZPATEL329@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
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 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 MAHESH ADVANI
Signature Title TRUSTEE
Signature Date 6/13/18

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