FORM 1023-EZ for SHIN SAIMDANG FOUNDATION

Field Data
EIN 83-2251331
Case Number EO-2018302-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIN SAIMDANG FOUNDATION
Organization’s Mailing Address 627 WATER ST
City SANTA CRUZ
State CA
ZIP 95060-4114
Accounting period End 12
Primary contact name HEEREI PARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUN CARSON
EXECUTIVE OFFICER
2364 MISSION GLEN DRIVE
SANTA CLARA CA 95051

Officer/Director/Trustee Two

HIEOJUNG JO
SECRETARY
1977 HIEMGARTNER LANE APT 41
SAN JOSE CA 95125

Officer/Director/Trustee Three

HEEREI PARK
CHIEF FINANCIAL OFFICER
627 WATER STREET
SANTA CRUZ CA 95060-4114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEEREI PARK
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 10/24/18

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