FORM 1023-EZ for STJUDESAMARITANS INC

Field Data
EIN 86-2619685
Case Number EO-2021106-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STJUDESAMARITANS INC
Organization’s Mailing Address 42643 FREEDOM ST
City CHANTILLY
State VA
ZIP 20152
Accounting period End 12
Primary contact name SATHIAN PINCHAPPAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SATHIAN PINCHAPPAN
PRESIDENT
42643 FREEDOM ST
CHANTILLY VA 20152

Officer/Director/Trustee Two

SUJITH ABRAHAM
TREASURER
43412 CEDAR POND PL
CHANTILLY VA 20152

Officer/Director/Trustee Three

NEENA ABRAHAM
OFFICER
43412 CEDAR POND PL
CHANTILLY VA 20152

Officer/Director/Trustee Four

GENI GEORGE
DIRECTOR
42643 FREEDOM ST
CHANTILLY VA 20152

Officer/Director/Trustee Five

SANTHOSH MOOTHEDAN
OFFICER
42643 FREEDOM ST
CHANTILLY VA 20152

Organization’s website
Organization’s email sathianmp@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 SATHIAN PINCHAPPAN
Signature Title PRESIDENT
Signature Date 4/14/2021

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