FORM 1023-EZ for HITESH S BAROT FOUNDATION

Field Data
EIN 47-1160153
Case Number EO-2016077-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HITESH S BAROT FOUNDATION
Organization’s Mailing Address 603 8TH STREET
City HUNTINGTON BEACH
State CA
ZIP 92480
Accounting period End 12
Primary contact name SONAL BRAHMBHATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIMISHA H BAROT
PRESIDENT
1231 MONTEREY AVE
BEREKELY CA 94707

Officer/Director/Trustee Two

SONAL NAYAN BRAHMBHATT
SECRETARY
1011 E LINDA LANE
GILBERT AZ 85234

Officer/Director/Trustee Three

GAUTAM BAROT
TREASURER
1909 CRYSTAL AVE
FINDLAY OH 45840

Officer/Director/Trustee Four

YASHESH SHROFF
VICE PRESIDENT
4220 RAMS HALL PL
SANTA CLARA CA 95054

Officer/Director/Trustee Five

AMY RODROGUEZ
BOARD MEMBER
5631 OHELO ROAD
KAPPA HI 96746

Organization’s website
Organization’s email HITESHSBAROTFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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
Signature Title
Signature Date

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