FORM 1023-EZ for US FOREVER SHINE FOUNDATION INC

Field Data
EIN 83-1866478
Case Number EO-2018313-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US FOREVER SHINE FOUNDATION INC
Organization’s Mailing Address 105 LARCH ROW
City WENHAM
State MA
ZIP 1984
Accounting period End 12
Primary contact name HUI DONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROUZA PAN
PRESIDENT
105 LARCH ROW
WENHAM MA 1984

Officer/Director/Trustee Two

HUI DONG
TREASURER
17 GRASSLAND STREET
LEXINGTON MA 2421

Officer/Director/Trustee Three

HUI DONG
CLERK
17 GRASSLAND STREET
LEXINGTON MA 2421

Officer/Director/Trustee Four

ROUZA PAN
DIRECTOR
105 LARCH ROW
WENHAM MA 1984

Officer/Director/Trustee Five

HUI DONG
DIRECTOR
17 GRASSLAND STREET
LEXINGTON MA 2421

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q21 - International Cultural Exchange
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROUZA PAN
Signature Title DIRECTOR
Signature Date 11/7/18

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