FORM 1023-EZ for QUY NHOM LUM TIEN XU

Field Data
EIN 86-3233595
Case Number EO-2021105-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUY NHOM LUM TIEN XU
Organization’s Mailing Address 8193 BOLSA AVE STE A
City MIDWAY CITY
State CA
ZIP 92655
Accounting period End 12
Primary contact name TIEN NGUYEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIEN NGUYEN
MANAGER
8193 BOLSA AVE STE A
MIDWAY CITY CA 92655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name TIEN NGUYEN
Signature Title MANAGER
Signature Date 4/13/2021

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