FORM 1023-EZ for KOREAN AMERICAN MEDICATION THERAPYMANAGEMENT INC

Field Data
EIN 86-2270654
Case Number EO-2021095-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOREAN AMERICAN MEDICATION THERAPYMANAGEMENT INC
Organization’s Mailing Address 990 MARINA VILLAGE PKWY UNIT 116
City ALAMEDA
State CA
ZIP 94501
Accounting period End 12
Primary contact name RAYMOND HSU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND HSU
PRESIDENT
990 MARINA VILLAGE PKWY UNIT 116
ALAMEDA CA 94501

Officer/Director/Trustee Two

HANA HSU
SECRETARY
990 MARINA VILLAGE PKWY UNIT 116
ALAMEDA CA 94501

Officer/Director/Trustee Three

HILARY HSU
TREASURER
990 MARINA VILLAGE PKWY UNIT 116
ALAMEDA CA 94501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 RAYMOND HSU
Signature Title PRESIDENT
Signature Date 3/8/2021

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