FORM 1023-EZ for MEDICAL VOLUNTEERS INTERNATIONAL

Field Data
EIN 81-5338708
Case Number EO-2017074-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDICAL VOLUNTEERS INTERNATIONAL
Organization’s Mailing Address 16020 58TH PLACE N
City PLYMOUTH
State MN
ZIP 55446
Accounting period End 12
Primary contact name STEVEN SHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN SHU
PRESIDENT
16020 58TH PLACE N
PLYMOUTH MN 55446

Officer/Director/Trustee Two

JUN XU
VICE PRESIDENT
1171 E PUTNAM AVENUE
RIVERSIDE CT 06878

Officer/Director/Trustee Three

WAYNE WU
TREASURER
1174 BITTERSWEET ROAD
EAU CLAIRE WI 54701

Officer/Director/Trustee Four

JEFFREY HUANG
CHAIR OF COMMUNICATION
281 W TROTTERS DRIVE
MAITLAND FL 32751

Officer/Director/Trustee Five

XIONGYING CHEN
CHAIR OF FINANCE
455 WOODSIDE PLACE
MONTGOMERY AL 36117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 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 Yes
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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