FORM 1023-EZ for SENIOR ADULT WELLNESS DEVELOPMENT CENTER INC

Field Data
EIN 86-2857904
Case Number EO-2021104-000898
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR ADULT WELLNESS DEVELOPMENT CENTER INC
Organization’s Mailing Address 73-23 210TH ST APT 3G
City OAKLAND GARDENS
State NY
ZIP 11364
Accounting period End 12
Primary contact name HYE KYUNG HONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HYE KYUNG HONG
DIRECTOR
73-23 210TH ST APT 3G
OAKLAND GARDENS NY 11364

Officer/Director/Trustee Two

JAI SOOK LEE
DIRECTOR
2481 8TH ST UNIT B
FORT LEE NJ 07024

Officer/Director/Trustee Three

CHOON WU CHUN
DIRECTOR
41-10 160TH ST
FLUSHING NY 11358

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2021
Organization Incorporation State NY
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 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 HYE KYUNG HONG
Signature Title DIRECTOR
Signature Date 4/12/2021

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