FORM 1023-EZ for AMERICAN MEDICAL STUDENT ASSOCIATION AT UC SAN DIEGO

Field Data
EIN 27-1276804
Case Number EO-2021176-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN MEDICAL STUDENT ASSOCIATION AT UC SAN DIEGO
Organization’s Mailing Address 12051
City LA JOLLA
State CA
ZIP 92039
Accounting period End 12
Primary contact name FOUAD HAJJAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FOUAD HAJJAR
TREASURER
676 WEST HUNTINGTON DRIVE
MONROVIA CA 91016

Officer/Director/Trustee Two

MICHAEL LI
PRESIDENT
7665 PALMILLA DRIVE 5106
SAN DIEGO CA 92122

Officer/Director/Trustee Three

CHRISTIAN JOHN VENTURA
VICE PRESIDENT
1169 PIPE DREAM COURT
SAN JOSE CA 95122-2617

Organization’s website WWW.UCSDAMSA.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FOUAD HAJJAR
Signature Title TREASURER
Signature Date 6/23/2021

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