FORM 1023-EZ for XINGLIN INSTITUTE FOR EAST ASIAN MEDICAL RESEARCH

Field Data
EIN 47-2231405
Case Number EO-2020021-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XINGLIN INSTITUTE FOR EAST ASIAN MEDICAL RESEARCH
Organization’s Mailing Address 4201 NE COUCH STREET
City PORTLAND
State OR
ZIP 97213
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD NEAL
PRESIDENT
4201 NE COUCH STREET
PORTLAND OR 97213

Officer/Director/Trustee Two

ELMAR PESTEL
VICE-PRESIDENT
4201 NE COUCH STREET
PORTLAND OR 97213

Officer/Director/Trustee Three

PETER GALLE
SECRETARY
312 N LOUISE STREET - NO 210
GLENDALE CA 91206

Officer/Director/Trustee Four

MATTHEW PROUTY
TREASURER
323 NEW BOSTON STREET - SUITE 2
WOBURN MA 01801

Officer/Director/Trustee Five

DIVYA SIVANESEN
DIRECTOR
4201 NE COUCH STREET
PORTLAND OR 97213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 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 PETER GALLE
Signature Title SECRETARY
Signature Date 1/16/2020

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