FORM 1023-EZ for ROSEMARY AND SIMON FOUNDATION CORPORATION

Field Data
EIN 83-3108164
Case Number EO-2019036-000728
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSEMARY AND SIMON FOUNDATION CORPORATION
Organization’s Mailing Address 9127 VIA BELLA NOTTE
City ORLANDO
State FL
ZIP 32836
Accounting period End 12
Primary contact name SHIXUN QIU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XUEMEI SHEN
PRESIDENT/DIRECTOR
9127 VIA BELLA NOTTE
ORLANDO FL 32836

Officer/Director/Trustee Two

SHIXUN QIU
DIRECTOR
9127 VIA BELLA NOTTE
ORLANDO FM 32836

Officer/Director/Trustee Three

PEILIANG CUI
DIRECTOR
2841 HARTLAND RD STE 201
FALLS CHURCH VA 22043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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 SHIXUN QIU
Signature Title DIRECTOR
Signature Date 1/23/19

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