FORM 1023-EZ for CHOCK TSAI FOUNDATION

Field Data
EIN 84-4048237
Case Number EO-2020007-000045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOCK TSAI FOUNDATION
Organization’s Mailing Address 20090 KILBRIDE DRIVE
City SARATOGA
State CA
ZIP 95070
Accounting period End 12
Primary contact name CHRISTINA TSAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA TSAI
PRESIDENT
20090 KILBRIDE DRIVE
SARATOGA CA 95070

Officer/Director/Trustee Two

TIM ROLLINGSON
VICE PRESIDENT
1145 GREEN STREET APT 4
SAN FRANSCISO CA 94109

Officer/Director/Trustee Three

DAVID CHOCK
TREASURER
900 FOLSOM STREET APT 949
SAN FRANCISCO CA 94107

Officer/Director/Trustee Four

OLIVIA CHOCK
SECRETARY
1145 GREEN STREET APT 4
SAN FRANICSCO CA 94109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTINA TSAI
Signature Title PRESIDENT
Signature Date 1/3/2020

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