FORM 1023-EZ for CHINESE ADOLESCENT DEPRESSION SUPPORT FOUNDATION INC

Field Data
EIN 83-2657125
Case Number EO-2019093-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHINESE ADOLESCENT DEPRESSION SUPPORT FOUNDATION INC
Organization’s Mailing Address 500W 122ND ST APT 1DD
City NEW YORK
State NY
ZIP 10027
Accounting period End 12
Primary contact name XITONG CHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XITONG CHEN
CEO
1255 AMSTERDAM AVE
NEW YORK NY 10027

Officer/Director/Trustee Two

JIAYU CHEN
OFFICER
1255 AMSTERDAM AVE
NEW YORK NY 10027

Officer/Director/Trustee Three

YIQING HU
DIRECTOR
1255 AMSTERDAM AVE
NEW YORK NY 10027

Organization’s website
Organization’s email XIAOYUJUN0325@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name XITONG CHEN
Signature Title CEO
Signature Date 4/1/19

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