FORM 1023-EZ for MITUL AND SHILPA MEHTA MEDICAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-3891812 |
| Case Number | EO-2016319-000663 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MITUL AND SHILPA MEHTA MEDICAL FOUNDATION |
| Organization’s Mailing Address | 3309 LAVIANA STREET |
| City | TUSTIN |
| State | CA |
| ZIP | 92782 |
| Accounting period End | 9 |
| Primary contact name | MITUL MEHTA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MITUL MEHTA
PRESIDENT
3309 LAVIANA STREET
TUSTIN CA 92782
Officer/Director/Trustee Two
SHILPA MEHTA
TREASURER
3309 LAVIANA STREET
TUSTIN CA 92782
Officer/Director/Trustee Three
INAKI IRIGOYEN
SECRETARY
2250 CAMINITO PESCADO UNIT 2
SAN DIEGO CA 92107
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G41 - Eye Diseases, Blindness and Vision Impairments |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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