FORM 1023-EZ for SURGEON VOLUNTEERS

Field Data
EIN 82-4679601
Case Number EO-2018074-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURGEON VOLUNTEERS
Organization’s Mailing Address 16020 58TH PLACE N
City PLYMOUTH
State MN
ZIP 55446
Accounting period End 12
Primary contact name STEVEN SHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN SHU
PRESIDENT
16020 58TH PLACE N
PLYMOUTH MN 55446

Officer/Director/Trustee Two

YUNFANG LI
TREASURER
6213 CHOWEN AVENUE S
EDINA MN 55410

Officer/Director/Trustee Three

JING QIAN
SECRETARY
11056 BELL OAKS ESTATE RD
EDEN PRAIRIE MN 55446

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/17
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 STEVEN SHU
Signature Title PRESIDENT
Signature Date 3/13/18

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