FORM 1023-EZ for STEMBOOST CORPORATION

Field Data
EIN 82-2741857
Case Number EO-2017303-000517
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEMBOOST CORPORATION
Organization’s Mailing Address 10170 SANTA CLARA AVE
City CUPERTINO
State CA
ZIP 95014
Accounting period End 12
Primary contact name SEOW LIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUEEN FOO
DIRECTOR
21535 MONROVIA STREET
CUPERTINO CA 95014

Officer/Director/Trustee Two

SEOW LIM
DIRECTOR
10170 SANTA CLARA AVE
CUPERTINO CA 95014

Officer/Director/Trustee Three

RAMACHANDRA SRINIVAS
DIRECTOR
21351 COLUMBUS AVE
CUPERTINO CA 95014

Officer/Director/Trustee Four

MICHELLE SMITH
PRESIDENT
21535 MONROVIA STREET
CUPERTINO CA 95014

Officer/Director/Trustee Five

GAVIN LO
SECRETARY
10170 SANTA CLARA AVE
CUPERTINO CA 95014

Organization’s website
Organization’s email STEMBOOST.ORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2017
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 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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