FORM 1023-EZ for PENN USA INC

Field Data
EIN 83-2091323
Case Number EO-2018304-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENN USA INC
Organization’s Mailing Address 582 E HOME AVE
City PALATINE
State IL
ZIP 60074
Accounting period End 12
Primary contact name LAKSHMI ANANDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKSHMI ANANDAN
DIRECTOR AND PRESIDENT
582 E HOME AVE
PALATINE IL 60074

Officer/Director/Trustee Two

MARIAMMAL KANTHIMATHINATHAN
DIRECTOR AND TREASURER
502 ARLINGTON CT
VERNON HILLS IL 60061

Officer/Director/Trustee Three

DEVI ARUL MOZHI ANNAMALAI
DIRECTOR AND SECRETARY
3392 HOLLIS CIRCLE
NAPERVILLE IL 60564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V32 - Women's Studies
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 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 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 LAKSHMI ANANDAN
Signature Title DIRECTOR AND PRESIDENT
Signature Date 10/29/18

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