FORM 1023-EZ for WUXIA INTEGRATIVE MEDICINE HEALTH

Field Data
EIN 83-0677142
Case Number EO-2018172-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WUXIA INTEGRATIVE MEDICINE HEALTH
Organization’s Mailing Address 1550 MIRASOL DRIVE
City SAN MARINO
State CA
ZIP 91108-2737
Accounting period End 12
Primary contact name JJEANNIE WONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNIE WONG
PRESIDENT
1550 MIRASOL DRIVE
SAN MARINO CA 91108-2737

Officer/Director/Trustee Two

SYDNEY ANDERSEN
SECRETARY
1550 MIRASOL DRIVE
SAN MARINO CA 91108-2737

Officer/Director/Trustee Three

DONNA NODA
CHIEF FINANCIAL OFFICER
61 N GOLDEN WEST AVENUE
ARCADIA CA 91007-6110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 JEANNIE WONG
Signature Title PRESIDENT
Signature Date 6/19/18

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