FORM 1023-EZ for JAGANNATH ADMIRER GROUP OF AMERICA

Field Data
EIN 81-3165996
Case Number EO-2017003-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAGANNATH ADMIRER GROUP OF AMERICA
Organization’s Mailing Address 23868 VICTORY BLVD
City LOS ANGELES
State CA
ZIP 91367
Accounting period End 12
Primary contact name ALI HUSSAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISHA PATTNAIK
CHIEF EXECUTIVE OFFICER
23868 VICTORY BLVD
LOS ANGELES CA 91367

Officer/Director/Trustee Two

ANURADHA KAR
SECRETARY
23868 VICTORY BLVD
LOS ANGELES CA 91367

Officer/Director/Trustee Three

RANI PADHI
CHIEF FINANCIAL OFFICER
23868 VICTORY BLVD
LOS ANGELES CA 91367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State CA
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: Yes
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 No
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
Signature Title
Signature Date

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