FORM 1023-EZ for TAKE ACTION INC

Field Data
EIN 84-2926372
Case Number EO-2020085-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAKE ACTION INC
Organization’s Mailing Address 2 ALPINE DRIVE
City CLOSTER
State NJ
ZIP 07624
Accounting period End 12
Primary contact name ISHIKAA KOTHARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ISHIKAA KOTHARI
PRESIDENT/DIRECTOR
2 ALPINE DRIVE
CLOSTER NJ 07624

Officer/Director/Trustee Two

RUCHI KOTHARI
TREASURER/DIRECTOR
2 ALPINE DRIVE
CLOSTER NJ 07624

Officer/Director/Trustee Three

LEA HOSTETTER-HABIB
SECRETARY/DIRECTOR
2 ALPINE DRIVE
CLOSTER NJ 07624

Officer/Director/Trustee Four

DANIEL DOMINGUEZ
BOARD MEMBER/DIRECTOR
2 ALPINE DRIVE
CLOSTER NJ 07624

Officer/Director/Trustee Five

JOHN GLIDDEN
BOARD MEMBER/DIRECTOR
2 ALPINE DRIVE
CLOSTER NJ 07624

Organization’s website
Organization’s email ISHIKAAKOTHARI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 ISHIKAA KOTHARI
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/23/2020

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