FORM 1023-EZ for CHINESE AMERICAN COMMUNITY HEALTH SERVICES

Field Data
EIN 81-1699154
Case Number EO-2017003-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHINESE AMERICAN COMMUNITY HEALTH SERVICES
Organization’s Mailing Address 22431 HERON NECK TERRACE
City CLARKSBURG
State MD
ZIP 20871
Accounting period End 12
Primary contact name NINGPING FENG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINGPING FENG
EXECUTIVE DIRECTOR
22431 HERON NECK TERRACE
CLARKSBURG MD 20871

Officer/Director/Trustee Two

SABRINA HSU
DIRECTOR, TREASURER
3996 BRIARY WAY
FAIRFAX VA 22031

Officer/Director/Trustee Three

YINING WANG
DIRECTOR
3035 MISSION SQUARE DRIVE
FAIRFAX VA 22031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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