FORM 1023-EZ for INDIAN-AMERICAN COMMUNITY SERVICESCHAPTER MICHIGAN

Field Data
EIN 85-2340112
Case Number EO-2020301-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIAN-AMERICAN COMMUNITY SERVICESCHAPTER MICHIGAN
Organization’s Mailing Address 5404 WINDY CT
City TROY
State MI
ZIP 48098
Accounting period End 12
Primary contact name NAILESH SHAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEMA RACHMALE
CHAIRMAN
160 CANTERBURY ROAD
BLOOMFIELD HILLS MI 48304

Officer/Director/Trustee Two

ANVITA SAINI
PRESIDENT
48831 VENETO DR
NORTHVILLE MI 48167

Officer/Director/Trustee Three

VIKAS BHUTADA
VICE-PRESIDENT
6613 SHADOWOOD DR
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Four

NAILESH SHAH
SECRETARY
1894 LEXINGTON DR
TROY MI 48084

Officer/Director/Trustee Five

SANJAY SHAH
TREASURER
123 MILLSTONE DR
TROY MI 48084

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
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 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 NAILESH SHAH
Signature Title SECRETARY
Signature Date 10/23/2020

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