FORM 1023-EZ for HKUSTAA NORTHERN CA CHAPTER

Field Data
EIN 82-3133093
Case Number EO-2018074-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HKUSTAA NORTHERN CA CHAPTER
Organization’s Mailing Address 530 LA CONNER DR APT 25
City SUNNYVALE
State CA
ZIP 94087
Accounting period End 6
Primary contact name CAREY LAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAREY LAI
PRESIDENT
530 LA CONNER DR APT 25
SUNNYVALE CA 94087

Officer/Director/Trustee Two

MAN-TONG KOU
SECRETARY
913 RALEIGH ROAD
SAN JOSE CA 95123

Officer/Director/Trustee Three

YIM-LEE AU
CHIEF FINANCIAL OFFICER
49 SHOWERS DR T411
MOUNTAIN VIEW CA 94040

Organization’s website NORCAL.ALUMNI.UST.HK
Organization’s email HKUSTAANCC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 CAREY LAI
Signature Title PRESIDENT
Signature Date 3/13/18

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