FORM 1023-EZ for NATIONAL SOUTH ASIAN MEDICAL STUDENT ASSOCIATION

Field Data
EIN 87-1128348
Case Number EO-2021165-000539
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL SOUTH ASIAN MEDICAL STUDENT ASSOCIATION
Organization’s Mailing Address 123 HAYWARD ROAD
City ACTON
State CA
ZIP 01720
Accounting period End 12
Primary contact name ANEESHA PYDI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANEESHA PYDI
CO-PRESIDENT
14397 MANGROVE STREET
MOORPARK CA 93021

Officer/Director/Trustee Two

AKANKSHA SRIVASTAVA
CO-PRESIDENT
123 HAYWARD ROAD
ACTON MA 01720

Officer/Director/Trustee Three

AAYUSH VISARIA
TREASURER
22 KESWICK CIRCLE
MONROE TOWNSHIP NJ 08831

Officer/Director/Trustee Four

SUNIL SAHAI
DIRECTOR
301 UNIVERSITY DRIVE
GALVESTON TX 77555

Officer/Director/Trustee Five

PRERAK SHAH
DIRECTOR
198 MASSACHUSETTS AVENUE
NORTH ANDOVER MA 01845

Organization’s website NATIONALSAMSA.ORG
Organization’s email NATIONALSAMSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2021
Organization Incorporation State MA
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: Yes
Religious: No
Educational: Yes
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 ANEESHA PYDI
Signature Title CO-PRESIDENT
Signature Date 6/11/2021

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