FORM 1023-EZ for SR MOSAIC INC

Field Data
EIN 83-1656183
Case Number EO-2018256-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SR MOSAIC INC
Organization’s Mailing Address 2 STANFORD PLACE
City PRINCETON JUNCTION
State NJ
ZIP 8550
Accounting period End 12
Primary contact name SHIKHA RASTOGI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIKHA RASTOGI
PRESIDENT
34 PARKHILL TERRACE
PRINCETON JUNCTION NJ 8550

Officer/Director/Trustee Two

KAVITHA PRADEEP
VICE PRESIDENT
2 STANFORD PLACE
PRINCETON JUNCTION NJ 8550

Officer/Director/Trustee Three

VIDYA RAJARAJAN
SECRETARY
2808 RAVENS CREST DRIVE
PLAINSBORO NJ 8536

Officer/Director/Trustee Four

CHANDRAKALA SIVAKUMAR
TREASURER
20 HAMPSHIRE DRIVE
PLAINSBORO NJ 8536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State NJ
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: 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHIKHA RASTOGI
Signature Title PRESIDENT
Signature Date 9/11/18

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