FORM 1023-EZ for MOBILIZE PPE INC

Field Data
EIN 85-0637761
Case Number EO-2020125-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOBILIZE PPE INC
Organization’s Mailing Address 1324 HARVARD ST SUITE B
City SANTA MONICA
State CA
ZIP 90404
Accounting period End 12
Primary contact name KEN CHUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN CHUNG
PRESIDENT/CHAIRMAN/DIRECTOR (1)
1324 HARVARD ST SUITE B
SANTA MONICA CA 90404

Officer/Director/Trustee Two

BRIAN CHEN
TREASURER/DIRECTOR (2)
1230 SANTA ANITA AVE STE B
SOUTH EL MONTE CA 91733

Officer/Director/Trustee Three

SEAN CHUNG
SECRETARY/DIRECTOR (3)
433 NORTH LOUISE APT 305
GLENDALE CA 91206

Officer/Director/Trustee Four

NEMAT SHARIF
DIRECTOR (4)/COO
1324 HARVARD ST SUITE B
SANTA MONICA CA 90404

Organization’s website
Organization’s email KEN@SAVEAMEDIC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
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 KEN CHUNG
Signature Title PRESIDENT/CHAIRMAN/DIRECTOR (1)
Signature Date 4/30/2020

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