FORM 1023-EZ for GAINESVILLE INDIAN ASSOCIATION

Field Data
EIN 27-1480613
Case Number EO-2015279-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GAINESVILLE INDIAN ASSOCIATION
Organization’s Mailing Address 8880 YELLOW HAMMER DR
City GAINESVILLE
State VA
ZIP 20155
Accounting period End 12
Primary contact name KILLOL KAMDAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KASI VISWANATH
PRESIDENT
8880 YELLOW HAMMER DR
GAINESVILLE VA 20155

Officer/Director/Trustee Two

KILLOL KAMDAR
SECERTARY
8676 WALES CT
GAINESVILLE VA 20155

Officer/Director/Trustee Three

KIRAN PATEL
TREASURER
13558 WYECROSSE CT
BRISTOW VA 20136

Organization’s website WWW.GIA-NOVA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2009
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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