FORM 1023-EZ for HUMAN ENERGY MEDITATION

Field Data
EIN 46-5723129
Case Number EO-2015331-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMAN ENERGY MEDITATION
Organization’s Mailing Address 107 GILBERT STREET
City GARDEN GROVE
State CA
ZIP 92841
Accounting period End 12
Primary contact name DEAN SHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEAN SHU
PRESIDENT
1701 GILBERT STREET
GARDEN GROVE CA 92841

Officer/Director/Trustee Two

YAN JUAN WANG
TREASURER
4420 CYPRESS AVE
EL MONTE CA 91731

Officer/Director/Trustee Three

LILIAN SHU
SECRETARY
1701 GILBERT STREET
GARDEN GROVE CA 92841

Officer/Director/Trustee Four

KUO YU CHANG
DIRECTOR
5012 GLICKMAN AVE
TEMPLE CITY CA 91780

Officer/Director/Trustee Five

LISA CHI
DIRECTOR
4051 LOMA STREET
IRVINE CA 92604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development 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 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
Signature Title
Signature Date

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