FORM 1023-EZ for C-LAB

Field Data
EIN 82-2486881
Case Number EO-2018107-000653
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name C-LAB
Organization’s Mailing Address PO BOX 1563
City CUPERTINO
State CA
ZIP 95015
Accounting period End 12
Primary contact name QIANG TU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QIANG TU
DIRECTOR
1121 VIA DI SALERNO
PLEASANTON CA 94566

Officer/Director/Trustee Two

DEHAI KONG
DIRECTOR
PO BOX 1563
CUPERTINO CA 95015

Officer/Director/Trustee Three

YUNQIAN QI
DIRECTOR
10163 BYRNE
CUPERTINO CA 95014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name QIANG TU
Signature Title DIRECTOR
Signature Date 3/27/18

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