FORM 1023-EZ for SLEEP MEDICINE AND RESEARCH FOUNDATION

Field Data
EIN 47-3830022
Case Number EO-2015119-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SLEEP MEDICINE AND RESEARCH FOUNDATION
Organization’s Mailing Address 3270 19TH ST NW SUITE 110
City ROCHESTER
State MN
ZIP 55901
Accounting period End 12
Primary contact name ALLAN OBRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALLAN OBRYAN
SECRETARY
2358 68TH ST NW
ROCHESTER MN 55901

Officer/Director/Trustee Two

STACEY QUO
PRESIDENT
965 HIGH ST
PALO ALTO CA 94301

Officer/Director/Trustee Three

KASEY LI
VICE-PRESIDENT
1900 UNIVERSITY AVE 105
EAST PALO ALTO CA 94303

Officer/Director/Trustee Four

CARMEN CHOY
TREASURER
211 QUARRY RD 106
PALO ALTO CA 94304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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