FORM 1023-EZ for BETHEL SILVER MEDICAL CLUB

Field Data
EIN 47-2359734
Case Number EO-2015009-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETHEL SILVER MEDICAL CLUB
Organization’s Mailing Address 402 ROCKEFELLER / 212
City IRVINE
State CA
ZIP 92612-8105
Accounting period End 12
Primary contact name YOUNG JOE KWON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YOUNG KWON
GROUP LEADER
402 ROCKEFELLER / 212
IRVINE CA 92612-8105

Officer/Director/Trustee Two

JOO KIM
ADMINISTRATOR
7 MARBLE SANDS
NEWPORT BEACH AZ 92660

Officer/Director/Trustee Three

NEUNGSOO KIM
TREASURER
355 SOUTH VIA MONTANERA
IRVINE CA 92807

Organization’s website
Organization’s email YJOEKWON@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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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