FORM 1023-EZ for FOREVER FIT SENIOR CENTER INC

Field Data
EIN 46-1007737
Case Number EO-2016140-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER FIT SENIOR CENTER INC
Organization’s Mailing Address 3458 VIA CAMPESINA
City RANCHO PALOS VERDES
State CA
ZIP 90275
Accounting period End 6
Primary contact name WINNIE WU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY HUNG
CEO
3458 VIA CAMPESINA
RANCHO PALOS VERDES CA 90275

Officer/Director/Trustee Two

ANTHONY HUNG
SECRETARY
3458 VIA CAMPESINA
RANCHO PALOS VERDES CA 90275

Officer/Director/Trustee Three

ANTHONY HUNG
CFO
3458 VIA CAMPESINA
RANCHO PALOS VERDES CA 90275

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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 Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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