FORM 1023-EZ for GREATER CHARLOTTE ASSOCIATION OF PHYSICIANS OF INDIAN ORIGIN
| Field | Data |
|---|---|
| EIN | 90-0066206 |
| Case Number | EO-2015239-000148 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GREATER CHARLOTTE ASSOCIATION OF PHYSICIANS OF INDIAN ORIGIN |
| Organization’s Mailing Address | 4428 CAMERON OAKS DR |
| City | CHARLOTTE |
| State | NC |
| ZIP | 28211 |
| Accounting period End | 12 |
| Primary contact name | SANTOSH GOPALAKRISHNAN MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
SANTOSH GOPALAKRISHNAN
PRESIDENT
3016 WHEATFIELD DR
WAXHAW NC 28173
Officer/Director/Trustee Two
ASHOK PATEL
VICE PRESIDENT
6060 FOGGY GLEN DR
WEDDINGTON NC 28104
Officer/Director/Trustee Three
PRAFUL MEHTA
TREASURER
4428 CAMERON OAKS DR
CHARLOTTE NC 28211
Officer/Director/Trustee Four
SARJOO BHAGIA
BOARD OF DIRECTORS
7213 FAIRWAY VISTA DR
CHARLOTTE NC 28226
Officer/Director/Trustee Five
NIMISH PATEL
BOARD OF DIRECTORS
10535 FLENNIGAN WAY
CHARLOTTE NC 28277
| Organization’s website | WWW.GCAAPI.ORG |
|---|---|
| Organization’s email | GCAAPI@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/14/2015 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: Yes 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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