FORM 1023-EZ for AYANA INTERNATIONAL

Field Data
EIN 83-1447549
Case Number EO-2018236-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AYANA INTERNATIONAL
Organization’s Mailing Address 5746 COUNTRY CLUB PARKWAY
City SAN JOSE
State CA
ZIP 95138-2222
Accounting period End 12
Primary contact name MAHIKA HALEPETE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAHIKA HALEPETE
EXECUTIVE DIRECTOR
5746 COUNTRY CLUB PKWY
SAN JOSE CA 95138-2222

Officer/Director/Trustee Two

SAMEER HALEPETE
SECRETARY
5746 COUNTRY CLUB PARKWAY
SAN JOSE CA 95138-2222

Organization’s website WWW.AYANAINTERNATIONAL.ORG
Organization’s email MAHIKA@AYANAINTERNATIONAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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 MAHIKA HALEPETE
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/22/18

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