FORM 1023-EZ for CHEN VILLAGE TAI CHI

Field Data
EIN 82-4212198
Case Number EO-2018106-000675
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHEN VILLAGE TAI CHI
Organization’s Mailing Address 2724 GRIFFITH PARK BLVD
City LOS ANGELES
State CA
ZIP 90027-3399
Accounting period End 12
Primary contact name BOSCO BAEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOSCO BAEK
PRESIDENT
3223 W 6TH ST UNIT 501
LOS ANGELES CA 90020-5008

Officer/Director/Trustee Two

CHRISTOPHER SOULE
VICE PRESIDENT
2154 HILLSIDE DR
TOPANGA CA 90290

Officer/Director/Trustee Three

STEFANOS KAFATOS
VICE PRESIDENT
3720 GREENFIELD AVE
LOS ANGELES CA 90034-7004

Officer/Director/Trustee Four

CHRISTOPHER KUDELKA
SECRETARY
1818 CORINTH AVE APT 5
LOS ANGELES CA 90025-4363

Officer/Director/Trustee Five

RICHY STORRS
TREASURER
12465 SHAFER PL
SYLMAR CA 91342-5721

Organization’s website WWW.CHENVILLAGE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 BOSCO BAEK
Signature Title PRESIDENT
Signature Date 4/2/18

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