FORM 1023-EZ for SENIORS V TEAM FOUNDATION

Field Data
EIN 81-3791489
Case Number EO-2019248-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIORS V TEAM FOUNDATION
Organization’s Mailing Address 3161 ELLIOTT AVE STE 390
City SEATTLE
State WA
ZIP 98121
Accounting period End 12
Primary contact name LAWRENCE PANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE PANG
CHAIRPERSON OF BOARD
3161 ELLIOTT AVE STE 390
SEATTLE WA 98121

Officer/Director/Trustee Two

YAU MOK-CHENG
VICE CHAIRPERSON OF BOARD
103 102ND AVE SE
BELLEVUE WA 98004

Officer/Director/Trustee Three

EDWARD LEUNG
SECRETARY
606 MAYNARD AVE S STE 200A
SEATTLE WA 98104

Officer/Director/Trustee Four

SHIAOYEN WU
TREASURER
9500 ROOSEVELT WAY NE STE 100
SEATTLE WA 98115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/16
Organization Incorporation State WA
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 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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAWRENCE PANG
Signature Title CHAIRPERSON OF BOARD
Signature Date 8/30/19
EIN 81-3791489
Case Number EO-2018312-000006
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIORS V TEAM FOUNDATION
Organization’s Mailing Address 3161 ELLIOTT AVENUE SUITE 390
City SEATTLE
State WA
ZIP 98121-1079
Accounting period End 12
Primary contact name LAWRENCE PANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE PANG
CHAIRPERSON OF BOARD
3161 ELLIOTT AVE STE 390
SEATTLE WA 98121

Officer/Director/Trustee Two

YAU MOK-CHENG
VICE CHAIRPERSON OF BOARD
103 102ND AVE SE
BELLEVUE WA 98004

Officer/Director/Trustee Three

EDWARD LEUNG
SECRETARY
606 MAYNARD AVE S STE 200A
SEATTLE WA 98104

Officer/Director/Trustee Four

SHIAOYEN WU
TREASURER
9500 ROOSEVELT AVE NE STE 100
SEATTLE WA 98115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/16
Organization Incorporation State WA
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 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 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 LAWRENCE PANG
Signature Title CHAIRPERSON OF BOARD
Signature Date 11/2/18

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