FORM 1023-EZ for AGOURA MATH CIRCLE

Field Data
EIN 81-1050140
Case Number EO-2016025-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGOURA MATH CIRCLE
Organization’s Mailing Address 5422 SOFTWIND WAY
City AGOURA HILLS
State CA
ZIP 91301
Accounting period End 12
Primary contact name JI YAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PRANAV KALYAN
CHIEF EXECUTIVE OFFICER
5422 SOFTWIND WAY
AGOURA HILLS CA 91301

Officer/Director/Trustee Two

RAJESH GOVINDARAJAN
SECETARY
29467 SHANNON CT
CANYON COUNTRY CA 91387

Officer/Director/Trustee Three

KALYANA KUMAR MOHAN
DIRECTOR
5422 SOFTWIND WAY
AGOURA HILLS CA 91301

Officer/Director/Trustee Four

JONATHAN WOODBURY
DIRECTOR
13697 CHRISTIAN BARRETT DRIVE
MOORPARK CA 93021

Officer/Director/Trustee Five

VISALAKSHI KASI
CHEIF FINANCIAL OFFICER
5422 SOFTWIND WAY
AGOURA HILLS CA 91301

Organization’s website WWW.AGOURAMATHCIRCLE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 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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