FORM 1023-EZ for SHANTI ACADEMY

Field Data
EIN 83-1566370
Case Number EO-2018229-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHANTI ACADEMY
Organization’s Mailing Address 5558 RED FOX CT
City MASON
State OH
ZIP 45040
Accounting period End 12
Primary contact name MAX SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DINESH MANI
BOARD MEMBER
5692 PEPPERIDGE CT
MAINVILLE OH 45039

Officer/Director/Trustee Two

BALA HARIDAS
BOARD MEMBER
1008 MUIRFIELD VILLAGE
COLLEGE STATION TX 77845

Officer/Director/Trustee Three

GUHA SRIVATSA
BOARD MEMBER
245 MINDY CT SE
LEESBURG VA 20175

Officer/Director/Trustee Four

KANNIKS KANNIKESWARAN
EXECUTIVE DIRECTOR
5558 RED FOX COURT
MASON OH 45040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/16
Organization Incorporation State OH
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KANNIKS KANNIKESWARAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/14/18

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