FORM 1023-EZ for VISION MAXIMUM

Field Data
EIN 46-4434612
Case Number EO-2016141-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISION MAXIMUM
Organization’s Mailing Address 567 IRVEN COURT
City PALO ALTO
State CA
ZIP 94306
Accounting period End 12
Primary contact name LEE DU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEE DU
CEO/SECRETARY
567 IRVEN COURT
PALO ALTO CA 94306

Officer/Director/Trustee Two

FRAN SHEN
CFO
567 IRVEN COURT
PALO ALTO CA 94306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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