FORM 1023-EZ for MALLINA FOUNDATION

Field Data
EIN 81-1480953
Case Number EO-2016056-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALLINA FOUNDATION
Organization’s Mailing Address 7071 GALE LN
City EASTVALE
State CA
ZIP 92880
Accounting period End 12
Primary contact name KRISHNA MALLINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISHNA MALLINA
PRESIDENT, DIRECTOR
7071 GALE LN
EASTVALE CA 92880

Officer/Director/Trustee Two

RAMAKRISHNA TAMMINEEDI
SECRETARY, DIRECTOR
7071 GALE LN
EASTVALE CA 92880

Officer/Director/Trustee Three

VIDYADHARANI MALLINA
TREASURER, DIRECTOR
7071 GALE LN
EASTVALE CA 92880

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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