FORM 1023-EZ for SEVA SPINE

Field Data
EIN 83-2351464
Case Number EO-2019241-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEVA SPINE
Organization’s Mailing Address 60 PEACHTREE PARK DRIVE NE STE 200
City ATLANTA
State GA
ZIP 30309
Accounting period End 12
Primary contact name KULWANT BHATTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARVINDER BHATTI
FOUNDER
805 COG HILL
MCDONOUGH GA 30253

Officer/Director/Trustee Two

KULWANT BHATTI
EXECUTIVE OFFICER
805 COG HILL
MCDONOUGH GA 30253

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KULWANT BHATTI
Signature Title EXECUTIVE OFFICER
Signature Date 8/27/19

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