FORM 1023-EZ for GENERATION MEDICINE

Field Data
EIN 85-3296643
Case Number EO-2021083-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENERATION MEDICINE
Organization’s Mailing Address 1553 VIA LEON
City PALOS VERDES ESTATES
State CA
ZIP 90274
Accounting period End 12
Primary contact name SKY SHIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SKY SHIA
CFO
1553 VIA LEON
PALOS VERDES ESTATES CA 90274

Officer/Director/Trustee Two

ISABELLE DO
CEO
7959 BRASADO WAY
RIVERSIDE CA 92508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: Yes
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 SKY SHIA
Signature Title CFO
Signature Date 11/15/2020

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