FORM 1023-EZ for Q T FAMILY MISSION

Field Data
EIN 83-1810577
Case Number EO-2018346-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name Q T FAMILY MISSION
Organization’s Mailing Address 18529 CALLE VISTA CIR
City NORTHRIDGE
State CA
ZIP 91326
Accounting period End 12
Primary contact name SOO HEE KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOO KIM
PRESIDENT DIRECTOR
18529 CALLE VISTA CIR
NORTHRIDGE CA 91326

Officer/Director/Trustee Two

JESSICA LEE
SECRETARY CFO DIRECTOR
11914 MAYALL ST
NORTHRIDGE CA 91324

Officer/Director/Trustee Three

YOUNG PARK
DIRECTOR
3200 LA ROTONDA DR UNIT 507
RANCHO PALOS VERDES CA 90275

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
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 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 SOO KIM
Signature Title PRESIDENT DIRECTOR
Signature Date 12/10/18

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