FORM 1023-EZ for SAVIKANNADA JAX CORPORATION

Field Data
EIN 83-2760932
Case Number EO-2019121-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVIKANNADA JAX CORPORATION
Organization’s Mailing Address 9966 VINEYARD LAKE RD E
City JACKSONVILLE
State FL
ZIP 32256
Accounting period End 12
Primary contact name LATHA SHIVASHANKAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATHA SHIVASHANKAR
PRESIDENT
9966 VINEYARD LAKE RD E
JACKSONVILLE FL 32256

Officer/Director/Trustee Two

UMESHA SHETTY
SECRETARY
156 S ARABELLA WAY
SAINT JOHNS FL 32259

Officer/Director/Trustee Three

MAHESH SHIVAMALLAPPA
TREASURER
6306 FALBRIDGE COURT
JACKSONVILLE FL 32258

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State FL
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: Yes
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 No
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 LATHA SHIVASHANKAR
Signature Title PRESIDENT
Signature Date 4/28/19

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