FORM 1023-EZ for PRE-PHARMACY AT UCI

Field Data
EIN 82-1533355
Case Number EO-2017184-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRE-PHARMACY AT UCI
Organization’s Mailing Address UNIVERSITY OF CALIFORNIA IRVINE
City IRVINE
State CA
ZIP 92697
Accounting period End 6
Primary contact name AN LAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY RODRIQUEZ
PRESIDENT
10186 CAMINO RUIZ
SAN DIEGO CA 92126

Officer/Director/Trustee Two

AN LAI
INTERNAL VICE PRESIDENT
13121 LEWIS ST
GARDEN GROVE CA 92843

Officer/Director/Trustee Three

KENNETH TA
TREASURER
19505 BUGGY WHIP CIRCLE
WALNUT CA 92126

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1992
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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