FORM 1023-EZ for MILLBRAE RADIO INC

Field Data
EIN 46-4096077
Case Number EO-2016264-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLBRAE RADIO INC
Organization’s Mailing Address C/O 3130 LA SELVA STREET SUITE 104
City SAN MATEO
State CA
ZIP 94403
Accounting period End 12
Primary contact name JEAN CHOU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN CHOU
SECRETARY - DIRECTOR
137 MIRADA DRIVE
DALY CITY CA 94015

Officer/Director/Trustee Two

HUY LU
PRESIDENT
181 LONGVIEW DRIVE
DALY CITY CA 94015

Officer/Director/Trustee Three

ZHENHUA TAO
DIRECTOR
324 SWALLOWTAIL CT
BRISBANE CA 94005

Officer/Director/Trustee Four

FAN WEN
FINANCIAL OFFICER
3130 LA SELVA STREET SUITE 104
SAN MATEO CA 94403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 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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