FORM 1023-EZ for CLEVELAND NAMA HATTA PROGRAM

Field Data
EIN 34-1863121
Case Number EO-2019190-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEVELAND NAMA HATTA PROGRAM
Organization’s Mailing Address 2297 OLDE FARM LANE
City HUDSOIN
State OH
ZIP 44236
Accounting period End 12
Primary contact name HARI T MOORTHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRSNANANDINI DEVI DASI
PRESIDENT BOARD OF TRUSTEES
823 TREBISKY ROAD
CLEVELAND OH 44143

Officer/Director/Trustee Two

KAMAGIRI DEVI DASI
MEMBER BOARD OF TRUSTEES
1750 N TAYLOR RD
CLEVELAND OH 44112

Officer/Director/Trustee Three

TARIQ S ZIYAD
MEMBER BOARD OF TRUSTEES
823 TREBISKY ROAD
CLEVELAND OH 44143

Officer/Director/Trustee Four

HARI T MOORTHY
MEMBER OF BOARD OF TRUSTEES
2297 OLDE FARM LN
HUDSON OH 44236

Officer/Director/Trustee Five

GLADYS KIBBLE
MEMBER BOARD OF TRUSTEES
823 TREBISKY ROAD
CLEVELAND OH 44143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/98
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
Organization’s purpose Charitable: No
Religious: Yes
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name HARI T MOORTHY
Signature Title MEMBER OF BOARD OF TRUSTEES
Signature Date 7/4/19

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