FORM 1023-EZ for DELTA OMEGA CHI MEDICAL SERVICE SOCIETY

Field Data
EIN 47-4356381
Case Number EO-2018220-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELTA OMEGA CHI MEDICAL SERVICE SOCIETY
Organization’s Mailing Address 4100 UNIVERSITY DRIVE
City HOUSTON
State TX
ZIP 77204-3049
Accounting period End 12
Primary contact name ANH TRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBIN XU
PRESIDENT
4606 PLYMOUTH WAY
MISSOURI CITY TX 77459-2702

Officer/Director/Trustee Two

ANH TRAN
VICE PRESIDENT OF FINANCE
7922 WESTINGTON LN
HOUSTON TX 77040-6148

Officer/Director/Trustee Three

JEANFELIX CHAVEZ
VICE PRESIDENT OF EXTERNAL
2010 FREEDOM COURT
MISSOURI CITY TX 77459-3253

Officer/Director/Trustee Four

ANTHONY PHAM
ACCOUNTING DIRECTOR
150 RAVENHEAD DRIVE
HOUSTON TX 77034-1520

Officer/Director/Trustee Five

NOELIA ORTIZ-COLON
FUNDRAISING DIRECTOR
2627 JADE FOREST LN
KATY TX 77494-3007

Organization’s website DELTAOMEGACHI.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name ANH TRAN
Signature Title VICE PRESIDENT OF FINANCE
Signature Date 8/6/18

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