FORM 1023-EZ for SHRI JAGANNATH SOCIETY OF NORTH CAROLINA

Field Data
EIN 81-5239265
Case Number EO-2017313-000506
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHRI JAGANNATH SOCIETY OF NORTH CAROLINA
Organization’s Mailing Address 15509 ROBSART COURT
City CHARLOTTE
State NC
ZIP 28277-2066
Accounting period End 12
Primary contact name SRIDEEP PATNAIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SRIDEEP PATNAIK
PRESIDENT
15509 ROSART COURT
CHARLOTTE NC 28277-2066

Officer/Director/Trustee Two

PRAKASH MOHANTY
TREASURER
10390 SUTHERBY DRIVE
CHARLOTTE NC 28277-2066

Officer/Director/Trustee Three

SAMEER SENAPATI
SECRETARY
4213 OXFORD MILL ROAD
WAXHAW NC 28173

Officer/Director/Trustee Four

KUMUD DAS
BOARD MEMBER
15034 GLENFINN DRIVE
CHARLOTTE NC 28277-2066

Officer/Director/Trustee Five

SANATAN PATRA
BOARD MEMBER
4310 TODDINGTON LANE
MATTHEW NC 28105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X70 - Hindu
Organization’s purpose Charitable: Yes
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 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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