FORM 1023-EZ for ASIAN PACIFIC ISLANDER SPEECH-LANGUAGE-HEARING CAUCUS

Field Data
EIN 82-2353256
Case Number EO-2017216-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASIAN PACIFIC ISLANDER SPEECH-LANGUAGE-HEARING CAUCUS
Organization’s Mailing Address 2835 REGENT STREET
City BERKELEY
State CA
ZIP 94705-2111
Accounting period End 12
Primary contact name BETTY YU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTY YU
PRESIDENT
2835 REGENT STREET
BERKELEY CA 94705-2111

Officer/Director/Trustee Two

ELIZABETH CHAFCOULOFF
TREASURER
4189 26TH STREET
SAN FRANCISCO CA 94131-1914

Officer/Director/Trustee Three

ANNIE LE
SECRETARY
2135 32ND AVENUE
SAN FRANCISCO CA 94116-1624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
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 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 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
Signature Title
Signature Date

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