FORM 1023-EZ for EAST BAY KOREAN AMERICAN CANCER SUPPORT GROUP

Field Data
EIN 81-1329881
Case Number EO-2016193-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST BAY KOREAN AMERICAN CANCER SUPPORT GROUP
Organization’s Mailing Address 23 BOYD COURT
City PLEASANT HILL
State CA
ZIP 94523
Accounting period End 12
Primary contact name ESTHER KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOUNG WON
CEO
23 BOYD COURT
PLEASANT HILL CA 94523

Officer/Director/Trustee Two

ROSEMARIE WON
CFO
23 BOYD COURT
PLEASANT HILL CA 94523

Officer/Director/Trustee Three

ESTHER KIM
SECRETARY
6557 E BRITTAIN ST
LONG BEACH CA 90808

Officer/Director/Trustee Four

LAWRENCE WON
DIRECTOR
549 FALCON PLACE
SAN JOSE CA 95125

Officer/Director/Trustee Five

JOHN WON
DIRECTOR
1510 ORANGE AVE NUMBER 507
REDLANDS CA 92373

Organization’s website
Organization’s email ESTHERWKIM122@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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