FORM 1023-EZ for THE EVERGREEN INITIATIVE

Field Data
EIN 83-1379476
Case Number EO-2018212-000145
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE EVERGREEN INITIATIVE
Organization’s Mailing Address 3399 STRADA CIRCOLARE
City SAN JOSE
State CA
ZIP 95135-1753
Accounting period End 8
Primary contact name STEVEN LUO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN LUO
PRESIDENT/CEO
3399 STRADA CIRCOLARE
SAN JOSE CA 95135-1753

Officer/Director/Trustee Two

RALPH CAO
TREASURER/CFO
3324 SHOSHANA LANE
SAN JOSE CA 95135-1742

Officer/Director/Trustee Three

NATHAN NGUYEN
VICE PRESIDENT
3243 URZI DRIVE
SAN JOSE CA 95135-2032

Officer/Director/Trustee Four

JESSICA QU
SECRETARY
4109 CORTONA COURT
SAN JOSE CA 95135-1108

Officer/Director/Trustee Five

KEVIN YANG
DIRECTOR
4936 TUSCANY CIRCLE
SAN JOSE CA 95138-2350

Organization’s website N/A
Organization’s email EVERGREENINITIATIVE.SJ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEVEN LUO
Signature Title PRESIDENT/CEO
Signature Date 7/29/18

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