FORM 1023-EZ for GUJARATI SAMAJ OF NORTHERN ILLINOISINC

Field Data
EIN 83-4573378
Case Number EO-2019170-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUJARATI SAMAJ OF NORTHERN ILLINOISINC
Organization’s Mailing Address 3006 BROOKSIDE LN
City ROCKFORD
State IL
ZIP 61114
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
PRESIDENT
3006 BROOKSIDE LANE
ROCKFORD IL 61114

Officer/Director/Trustee Two

RAJ PATEL
SECRETARY
6353 PALO VERDE DR
ROCKFORD IL 61114

Officer/Director/Trustee Three

SATISH PATEL
TREASURER
6571 CHARTWELL DR
ROCKFORD IL 61114

Officer/Director/Trustee Four

INDRASINH RATHOD
BOARD OF DIRECTRS
6615 ROLLING HEDGE LN
ROCKFORD IL 61108

Officer/Director/Trustee Five

BALDEV PATEL
BOARD OF DIRCTORS
1678 EDEN P1
ROCKFORD IL 61107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
One Third Support Public No
One Third Support Gifts Yes
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 PRESIDENT
Signature Date 6/17/19

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