FORM 1023-EZ for CLEAN WATER BLUE SKY ASSOCIATION

Field Data
EIN 37-1803244
Case Number EO-2016196-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEAN WATER BLUE SKY ASSOCIATION
Organization’s Mailing Address 7505 FANNIN ST SUITE 209
City HOUSTON
State TX
ZIP 77054
Accounting period End 12
Primary contact name HONG AN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HONG AN
PRESIDENT
70 THISTLE RD
NORTH ANDOVER MA 01845

Officer/Director/Trustee Two

ANDREW ZHU
TREASURER AND DIRECTOR
500 AMALFI LOOP APT 581
MILPITAS CA 95035

Officer/Director/Trustee Three

YACHIN LIU
VP AND DIRECTOR
72 MARTIN ROAD
HOPEWELL JUNCTION NY 12533

Officer/Director/Trustee Four

JIANHUI HONG
VP AND DIRECTOR
2894 WHISPERING OAKS CT
BUFFALO GROVE IL 60089

Officer/Director/Trustee Five

YI TAN
DIRECTOR
17414 CEDAR PLACID LN
HOUSTON TX 77068

Organization’s website WWW.CLEANWATERBLUESKY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
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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