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1 The Secretary to the Government of India,, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road New Delhi Form FC-4 [See rule 17(1)] Subject: Account of Foreign Contribution for the year ending on the 31st March, Association FCRA registration number and name (i). Number : (ii). Name : Society For Education Welfare And Action Rur 2. Details of receipt and utilisation of foreign contribution : i. Foreign Contribution in cash/kind(vue): a) Brought forward foreign contribution at the beginning of the year(rs.) b) Interest or other receipt during the year* c) Foreign Contribution during the financi year i) Directly from a foreign source ii) as transfer from a loc source 0.00 d) Tot Foreign Contribution (a+b+c) (Rs.) *i.e. interest accured on foreign contribution, or any other income derived from foreign contribution, e.g. se proceeds from assets created from contribution, or interest thereon during the year ii (a). Donor wise detail of foreign contribution in excess of rupees 20,000: Sl.No Name of donors /Individu 1 VISHWA HINDU PARISHAD 2 DRUPAD H ADENWALA 3 SHARE AND CARE INDIA 4 DRUPAD H ADENWALA GIRISH M GANDHI NOCETO WAY BOYNTON NEACH FOLORIDA PIN FL 33437, United States of, 1193 MOLLY COURT UPLAND CALIFORNIA PIN CA , United States of d_a385@yahood.com, 676 WINTERS AVENUE PARAMUS NEW JERSEY PHONE NO , United Id: INFO@SHAREANDC ARE.ORG, Website 1193 MOLLY COURT UPLAND CALIFORNIA PIN CA , United States of d_a385@yahood.com, Soci Education Soci Economic Page 1 of 5
2 Sl.No Name of donors /Individu 5 INDIANS FOR COLLECTIVE ACTION 6 GLOBAL 7 MANANBHAI RAJUBHAI SAMPAT 8 FIRMENICH 9 NIRANJANABHAI NATVARLAL SHAH 10 FIRMENICH 11 GLOBAL 12 MAESH AND MAHESHWARI DESAI FAMILY FOUNDATION INC 13 TARUNBHAI RAMANBHAI 14 KARSHANBHAI SITARAMBHAI 15 NIRAMAN FOUNDATION BHUPENBHAI MEHTA/UNMESHBH AI 3838 MUMFORD PL PALO ALITO CALIFORNIA PHONE NO , ica@icaoline.org, POST BOX NO MACKAY AVENUE PARAMUS NEW JERSEY PIN NJ , United States of tampas02@gmail.com, PLOT NO Z 10 ASPEAN DRIVE NORTH BURNSWICK FINIGLANE NEW JERSEY PIN NJ 08902, United States of, PLOT NO Z 10 POST BOX NO Soci Education Soci Soci Soci Soci Education SPENSER DRIVE SHORT HILLS NEW JERSEY PIN NJ ,, Soci TARUNBHAI AND VARSHABEN DAYS INN 5531 E MAIN ST MESA USA TEL NO , United BEST WESVERN DUNES INN BUTLER AVENUE TYBEE ISLAND POST BOX NO 1393 MOBILE USA,, CHANDRAKANT C.SHOFF -600 N PICKETT STREET ALEXANDRAI - VIRJINIA PHONE NO , parpatinc@aol.com, Soci Soci Education Page 2 of 5
3 Sl.No Name of donors /Individu 16 FIRMENICH 17 FIRMENICH 18 INDIA DEVELOPMENT SERVICE 19 THE INSTITUNE OF TRANSFORMATIVE PLOT NO Z 10 PLOT NO Z 10 POST BOX NO 980 CHICAGO IL60690, nilavora@gamil.com, THE INSTITUTE OF TRANSFORMATIVE IIT 812 CREED ROAD OAKLAND CA USA USA,, 20 USHABEN N PATEL RD DRIVE, unp99@yaho.com, 21 NATVARLAL P PATEL 22 NATVARLAL P PATEL 23 KANUBHAI REVABHAI PATEL 24 INDIA DEVELOPMENT SERVICE 25 RAMESHBHAI N AMIN 26 NANDKISHOR SHAH RD DRIVE, unp99@yahoo.com, RD DRIVE, unp99@yahoo.com, 1881 W DEMARET CT LAHABRA DHARMAJ CALIFORNIA CA 90631, United States of, POST BOX NO 980 CHICAGO IL60690, nilavora@gamil.com, RAMESHBHAI AND HEMABEN AMIN 1290 VINEYARD DR SECONYERS GEORGIA GA 30013,, NANKISHOR AND SONALBEN SHAH BY ENT 3739 BAYSHORE BLVD NE ST PETERSBURG FLORID FL ,, Soci Soci Education Soci Soci Soci Soci Soci Education Soci Soci Page 3 of 5
4 Sl.No Name of donors /Individu 27 TARUNBHAI RAMANBHAI 28 AMERICAN SERVICE TO INDIA 29 MAESH AND MAHESHWARI DESAI FAMILY FOUNDATION INC 30 GLOBAL (b). Cumulative purpose-wise amount of l foreign contribution donation : (iii). Details of Utilization of foreign contribution: TARUNBHAI AND VARSHABEN DAYS INN 5531 E MAIN ST MESA USA TEL NO , United MEDICAL AND AL FOUNDATION POST BOX NO 4796 DIAMOND BAR1748 ASPEAN GROVE LANE CALIFORNIA USA, Website POST BOX NO SABIHABEN SABIHABEN AND SAJIDBHAI MUSA REDBRIDGE IG45BP 25 FARIMEAD GARDENS ILFORD GREATER LONDON IG4 U.K., United Kingdom, Id: zayn@btconnect.com, Soci Soci SPENSER DRIVE SHORT HILLS NEW JERSEY PIN NJ ,, Soci Sl.No Purpose Amount 1 Economic Soci a. Tot Utilization* for projects as per aims and objectives of the association (Rs.) b. Tot Administrative Exprenses as provided in Rule 5, FCRA 2011 (Rs.) c. Tot invested in term deposits(rs.) 0.00 d.tot Purchase of fresh assets(rs.) Tot utilzation in the year(rs.) (a+b+d) Education Soci * It is affirmed that the utilisation of foreign contribution is not in contravention of the provisions contained in proviso to Sction 9(e) and Section 12(4)(f) of the Act which states that the acceptance of foreign contribution is not likely to affect prejudicly. (A) the soverignty and integrity of india; or. (B) the security, strategic, scientific or echnomic interest of the state; or (C) the public interest; or (D) freedom or fairness of election to any legistature; or Page 4 of 5
5 (E) friendly relations with any foreign state; or (F) harmony between religious, raci, soci, lingusitic or relgion groups, castes or communities iv. Bance of unutilized foreign contribution, in cash/bank, at the end of the year(rs.) : v. Tot number of foreigner working(saried/ in honorary capacity. : (a) Details of designated Fc bank account for receipt of Foreign Contribution ( As on 31st March of the year ending): Sl.No Name of Bank Branch Address( With pincode) 1 BANK OF BARODA TEKRA FALIA,JHAGADIA DISTT -BHARUCH JHAGADIA,GUJARAT GUJARAT , JHAGADIA, Gujarat, Bharuch 3. (b) Details of l utilization bank accounts for utilization of Foregin Contribution (As on 31st March of the year ending) Sl.No Name of Bank Branch Address( With pincode) 1 BANK OF BARODA TEKRA FALIA,JHAGADIA DISTT -BHARUCH JHAGADIA,GUJARAT GUJARAT , JHAGADIA, Gujarat, Bharuch Declaration I hereby declare that the above particulars furnished by me are true and correct I so affirm that the receipt of foreign contribution and its utilization have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010, rules, notifications/ orders issued there under from time to time and the foreign contribution was utilized for the purpose(s) for which the association was granted registration/ prior permission by the Centr Government. IFSC Code BARB0JHAGAD IFSC Code BARB0JHAGAD Account No XXXXXXXXXX7404 Account No XXXXXXXXXX7404 Signature of the Cheif Functionary Page 5 of 5
The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road N
The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road New Delhi - 110001 Form FC-4 [See rule 17(1)] Subject:
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