FORM 1023-EZ for ASIAN PACIFIC ISLANDER CAUCUS FORPUBLIC HEALTH

Field Data
EIN 47-2331258
Case Number EO-2014353-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASIAN PACIFIC ISLANDER CAUCUS FORPUBLIC HEALTH
Organization’s Mailing Address 16161 VENTURA BOULEVARD SUITE 388
City ENCINO
State CA
ZIP 91436
Accounting period End 6
Primary contact name ELENA ONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELENA ONG
CHAIR/PRESIDENT
10479 COLINA WAY
LOS ANGELES CA 90077

Officer/Director/Trustee Two

ANGELA SY
CHAIR-ELECT/VICE PRESIDENT
2528 MCCARTHY MALL WEBSTER 402
HONOLULU HI 96822

Officer/Director/Trustee Three

REBECCA PARK
TREASURER
227 EAST 30TH STREET 8TH FL
NEW YORK NY 10016

Officer/Director/Trustee Four

YOUSRA YUSUF
SECRETARY
543 ELDERT LANE 2ND FL
BROOKLYN NY 11208

Officer/Director/Trustee Five

LAN DOAN
DIRECTOR/COUNCILOR
554 TURQUOISE DRIVE
HERCULES CA 94547

Organization’s website WWW.APICAUCUS.ORG
Organization’s email CHAIR@APICAUCUS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
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 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
Signature Title
Signature Date

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