FORM 1023-EZ for XC FAMILY FOUNDATION

Field Data
EIN 86-6652370
Case Number EO-2021100-001293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XC FAMILY FOUNDATION
Organization’s Mailing Address 9454 WILSHIRE BLVD STE 201
City BEVERLY HILLS
State CA
ZIP 90212-2903
Accounting period End 12
Primary contact name DAVID T NGUYEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NGUYEN
TRUSTEE
9454 WILSHIRE BLVD STE 201
BEVERLY HILLS CA 90212-2903

Officer/Director/Trustee Two

MICHELLE NGUYEN
TRUSTEE
10743 NARCOOSSEE RD STE A18
ORLANDO FL 32832

Officer/Director/Trustee Three

NIKKI TENGAN
TRUSTEE
2349 KULA KOLEA DR
HONOLULU HI 96819

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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 DAVID NGUYEN
Signature Title TRUSTEE
Signature Date 3/31/2021

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