FORM 1023-EZ for A3 AI

Field Data
EIN 84-4198171
Case Number EO-2020112-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A3 AI
Organization’s Mailing Address 11227 APPALOOSA DR
City REISTERSTOWN
State MD
ZIP 21136-6483
Accounting period End 12
Primary contact name CHANGRONG JI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANGRONG JI
CEO
11227 APPALOOSA DR
REISTERSTOWN MD 21136-6483

Officer/Director/Trustee Two

CHANGRONG JI
PRESIDENT
11227 APPALOOSA DR
REISTERSTOWN MD 21136-6483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 CHANGRONG JI
Signature Title PRESIDENT
Signature Date 4/19/2020

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