FORM 1023-EZ for KOREAN NURSES ASSOCIATION OF SACRAMENTO

Field Data
EIN 82-2101106
Case Number EO-2017198-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOREAN NURSES ASSOCIATION OF SACRAMENTO
Organization’s Mailing Address 4665 FREEWAY CIR
City SACRAMENTO
State CA
ZIP 95841
Accounting period End 12
Primary contact name OKKI KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEESOOK CHANG
PRESIDENT DIRECTOR
5234 BELLWOOD WAY
CARMICHAEL CA 95608

Officer/Director/Trustee Two

OKKI KIM
VICE PRESIDENT DIRECTOR
1130 MENLO DR
DAVIS CA 95616

Officer/Director/Trustee Three

HYUN LEE
SECRETARY DIRECTOR
3010 AMERICAN RIVER DR
SACRAMENTO CA 95864

Officer/Director/Trustee Four

KAE KIM
CFO DIRECTOR
1451 ROCKY RIDGE DR
ROSEVILLE CA 95661

Officer/Director/Trustee Five

KYOUNG MO
CLERK DIRECTOR
3165 SPAHN RANCH RD
ROSEVILLE CA 95661

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2017
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: 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 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
Signature Title
Signature Date

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