FORM 1023-EZ for NEW YORK SHAOLIN CHAN CENTER

Field Data
EIN 37-1921354
Case Number EO-2019052-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW YORK SHAOLIN CHAN CENTER
Organization’s Mailing Address 99 MADISON AVE FL 601
City NEW YORK
State NY
ZIP 10016
Accounting period End 12
Primary contact name KAIYUAN WANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAIYUAN WANG
PRESIDENT
1709 CAMBRIDGE ST
CAMBRIDGE MA 2138

Officer/Director/Trustee Two

WEIMING PAN
SECRETARY
301 ROARING BROOK RD
CHAPPAQUA NY 10514

Officer/Director/Trustee Three

RON BRENT
DIRECTOR
185 JOHN JOY ROAD
WOODSTOCK NY 12498

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
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 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 KAIYUAN WANG
Signature Title PRESIDENT
Signature Date 2/18/19

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