FORM 1023-EZ for INDIA LYMPHEDEMA FOUNDATION

Field Data
EIN 81-1378659
Case Number EO-2016340-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIA LYMPHEDEMA FOUNDATION
Organization’s Mailing Address 823 GREEN RIDGE DR 3
City DALY CITY
State CA
ZIP 94014
Accounting period End 12
Primary contact name IRA DAVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IRA DAVE
PRESIDENT
823 GREEN RIDGE DR 3
DALY CITY CA 94014

Officer/Director/Trustee Two

JAYDEEP PATHAK
TREASURER
823 GREEN RIDGE DR 3
DALY CITY CA 94014

Officer/Director/Trustee Three

JAYNA DAVE
SECRETARY
10931 WILDCAT BRIDGE LN
SUGARLAND TX 77498

Officer/Director/Trustee Four

MICHELE COXON
DIRECTOR
823 GREEN RIDGE DR 3
DALY CITY CA 94014

Officer/Director/Trustee Five

ARUN WADHWA
DIRECTOR
823 GREEN RIDGE DR 3
DALY CITY CA 94014

Organization’s website
Organization’s email ILF.AWARENESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 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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