FORM 1023-EZ for CHINESE SENIOR CITIZEN SOCIETY

Field Data
EIN 41-1560611
Case Number EO-2018109-000621
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHINESE SENIOR CITIZEN SOCIETY
Organization’s Mailing Address 2718 BRYANT AVENUE NORTH
City MINNEAPOLIS
State MN
ZIP 55411
Accounting period End 12
Primary contact name SUNTHI CHOOKIATSIRICHAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AGNES FOK
PRESIDENT
2718 BRYANT AVENUE NORTH
MINNEAPOLIS MN 55411

Officer/Director/Trustee Two

HELEN FONG
CO-PRESIDENT
2718 BRYANT AVENUE NORTH
MINNEAPOLIS MN 55411

Officer/Director/Trustee Three

LILIAN CHUNG
TREASURER
2718 BRYANT AVENUE NORTH
MINNEAPOLIS MN 55411

Officer/Director/Trustee Four

SUNTHI CHOOKIATSIRICHAI
SECRETARY
2718 BRYANT AVENUE NORTH
MINNEAPOLIS MN 55411

Officer/Director/Trustee Five

GRACE WONG
DIRECTOR
2718 BRYANT AVENUE NORTH
MINNEAPOLIS MN 55411

Organization’s website HTTP://WWW.CSCSMN.ORG/ABOUT-1/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/95
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
Donation of funds Yes
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 Yes
Correctness Declaration Yes
Signature Name SUNTHI CHOOKIATSIRICHAI
Signature Title SECRETARY
Signature Date 4/17/18
EIN 41-1560611
Case Number EO-2014283-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHINESE SENIOR CITIZEN SOCIETY
Organization’s Mailing Address 2718 BRYANT AVE NO
City MINNEAPOLIS
State MN
ZIP 55411
Accounting period End 12
Primary contact name WILLIAM FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIE HSIAO
PRESIDENT
6711 LAKE SHORE DR UNIT 1203
RICHFIELD MN 55423

Officer/Director/Trustee Two

SUNTHI CHOOKIATSIRICHAI
SECRETARY
2718 BRYANT AVE NO
MINNEAPOLIS MN 55411

Officer/Director/Trustee Three

HELEN FONG
VICE PRESIDENT
15731 HIGHLAND AVE NW
PRIOR LAKE MN 55323

Officer/Director/Trustee Four

BETTY HUM
TREASURER
101 PROMENADE AVE UNIT 337
WAYZATA MN 55391

Officer/Director/Trustee Five

AGNES FOK
DIRECTOR
505 W 70TH ST
RICHFIELD MN 55423

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/1985
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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