FORM 1023-EZ for HIRANYA SHANTI

Field Data
EIN 47-4259385
Case Number EO-2016104-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIRANYA SHANTI
Organization’s Mailing Address 40 WEST GOLDEN LANE
City FAIRFIELD
State IA
ZIP 52556-2098
Accounting period End 12
Primary contact name FREDERICK SWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REUVEN ZELINKOVSKY
DIRECTOR AND CEO
1000 N 4TH ST MUM MR-13
FAIRFIELD IA 52557-0002

Officer/Director/Trustee Two

ALEX GREEN
DIRECTOR
40 WEST GOLDEN LANE
FAIRFIELD IA 52556-2098

Officer/Director/Trustee Three

GRAHAM DE FREITAS
CHAIRPERSON
1976 SAVANNA CIRCLE
FAIRFIELD IA 52556-9024

Officer/Director/Trustee Four

JOHN FAGAN
DIRECTOR
103 FULL MOON LANE
FAIRFIELD IA 52556-0038

Organization’s website
Organization’s email INFO@HIRANYASHANTI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
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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