FORM 1023-EZ for GRANT MEDICAL COLLEGE ALUMNI ASSOCIATION INC

Field Data
EIN 81-0953304
Case Number EO-2016152-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRANT MEDICAL COLLEGE ALUMNI ASSOCIATION INC
Organization’s Mailing Address 64 RICHFIELD STREET
City PLAINVIEW
State NY
ZIP 11803
Accounting period End 12
Primary contact name BHAVANI SRINIVASAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BHAVANI SRINIVASAN
PRESIDENT
64 RICHFIELD STREET
PLAINVIEW NV 11803

Officer/Director/Trustee Two

CHACKO MATTHEWS
VP
5157 WILLOW POND ROAD WEST
WEST PALM BEACH FL 33417

Officer/Director/Trustee Three

DURGESH MANKIKAR
VP
7 REID STREET
WEST ORANGE NJ 07052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
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 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 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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