FORM 1023-EZ for KOREAN AMERICAN HEALTH PROFESSIONALS ALLIANCE INC

Field Data
EIN 75-3126777
Case Number EO-2015310-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOREAN AMERICAN HEALTH PROFESSIONALS ALLIANCE INC
Organization’s Mailing Address 7650 SW 81ST AVE
City PORTLAND
State OR
ZIP 97223
Accounting period End 6
Primary contact name GEMMA KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN KIM
PRESIDENT
4100 SW 109TH AVE
BEAVERTON OR 97005

Officer/Director/Trustee Two

SHANE KIM
VICE PRESIDENT
10819 SE STARK ST
PORTLAND OR 97216

Officer/Director/Trustee Three

GEMMA KIM
SECRETARY
15218 NW FRANCESCA DR
PORTLAND OR 97229

Officer/Director/Trustee Four

J J SCHULZ
TREASURER
6565 SW 211ST AVE
ALOHA OR 97078

Organization’s website
Organization’s email KAHPAOR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2001
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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