FORM 1023-EZ for TEENS FOR VACCINES INC

Field Data
EIN 85-2406615
Case Number EO-2020226-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEENS FOR VACCINES INC
Organization’s Mailing Address 19970 GRAYSTONE LANE
City SAN JOSE
State CA
ZIP 95120
Accounting period End 12
Primary contact name USHA KUNTAMUKKALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARIN PARSA
PRESIDENT
19970 GRAYSTONE LANE
SAN JOSE CA 95120

Officer/Director/Trustee Two

USHA KUNTAMUKKALA
VICE PRESIDENT
19970 GRAYSTONE LANE
SAN JOSE CA 95120

Officer/Director/Trustee Three

SAHAJA CARPENTER
SECRETARY
19970 GRAYSTONE LANE
SAN JOSE CA 95120

Officer/Director/Trustee Four

SUNDEEP PARSA
TREASURER
19970 GRAYSTONE LANE
SAN JOSE CA 95120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2020
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: No
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 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 No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name USHA KUNTAMUKKALA
Signature Title VICE PRESIDENT
Signature Date 8/11/2020

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