FORM 1023-EZ for THEIA INC

Field Data
EIN 85-1289468
Case Number EO-2020244-000594
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEIA INC
Organization’s Mailing Address 23 SCHERMERHORN STREET APT 5R
City BROOKLYN
State NY
ZIP 11201
Accounting period End 12
Primary contact name YI HYUN IRENE PARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YI HYUN IRENE PARK
DIRECTOR
23 SCHERMERHORN STREET
BROOKLYN NY 11201

Officer/Director/Trustee Two

SUMUN KHETPAL
DIRECTOR
1275 MOCKINGBIRD LANE
DURANT OK 74701

Officer/Director/Trustee Three

SHABNAM EGHBALI
DIRECTOR
1988 CHERRYWOOD STREET
VISTA CA 92801

Organization’s website HTTPS://THEIAHC.ORG/
Organization’s email THEIAHC.CO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 YI HYUN IRENE PARK
Signature Title DIRECTOR
Signature Date 8/28/2020

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