FORM 1023-EZ for INDIAAGAPE NFP

Field Data
EIN 81-3288709
Case Number EO-2017128-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAAGAPE NFP
Organization’s Mailing Address 11454 WEST 135TH STREET
City ORLAND PARK
State IL
ZIP 60467-6869
Accounting period End 12
Primary contact name STEVEN HOLLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL KEANE
DIRECTOR/SECTY/TREASURER
11454 WEST 135TH STREET
ORLAND PARK IL 60467-6869

Officer/Director/Trustee Two

RONALD HJERTSTEDT
DIRECTOR/PRESIDENT
11454 WEST 135TH STREET
ORLAND PARK IL 60467-6869

Officer/Director/Trustee Three

JOYCE SHANAHAN
DIRECTOR
376A
SAN FRANCISCO CA 94110-1001

Officer/Director/Trustee Four

DIANE BETTINI
DIRECTOR
5516 EWING CIRCLE SOUTH
EDINA MN 55410-2366

Organization’s website WWW.INDIAGAPE.COM
Organization’s email RON@INDIAGAPE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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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