FORM 1023-EZ for PODARI LIFE INC

Field Data
EIN 47-4165470
Case Number EO-2015231-000310
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PODARI LIFE INC
Organization’s Mailing Address 9 OAK STREET
City STONEHAM
State MA
ZIP 02180
Accounting period End 12
Primary contact name LELIA SHERGOVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BORIS SHMATKOV
PRESIDENT
8 MILLEN CIRCLE
MALDEN MA 02148

Officer/Director/Trustee Two

MARIA GAFT
TREASURER
17 PATRIOT LANE
SALEM MA 01970

Officer/Director/Trustee Three

OLGA LELIA SHERGOVA
CLERK
9 OAK STREET
STONEHAM MA 02180

Organization’s website N/A
Organization’s email LSHERGOVA@PODARI.LIFE
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Donation of funds No
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 No
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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