FORM 1023-EZ for LOVE TAI CHI FOUNDATION

Field Data
EIN 84-3154012
Case Number EO-2019273-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE TAI CHI FOUNDATION
Organization’s Mailing Address 1472 N MILPITAS BLVD
City MILPITAS
State CA
ZIP 95035
Accounting period End 12
Primary contact name TIMOTHY GRISWOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY PENG
CHAIRMAN/PRESIDENT
46710 CRAWFORD ST NO 30
FREMONT CA 94539

Officer/Director/Trustee Two

WAYNE PENG
TREASURER
1472 N MILPITAS BLVD
MILPITAS CA 95035

Officer/Director/Trustee Three

RORY CONLIN
VICE PRESIDENT/SECRETARY
193 EAST WARREN COMMON
FREMONT CA 94539

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 CINDY PENG
Signature Title CHAIRMAN/PRESIDENT
Signature Date 9/28/19

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