FORM 1023-EZ for HAPPY HEALTHY LIFE CAMP

Field Data
EIN 83-3482963
Case Number EO-2019077-000682
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAPPY HEALTHY LIFE CAMP
Organization’s Mailing Address 6589 EDGEMOOR WAY
City SAN JOSE
State CA
ZIP 95129-2932
Accounting period End 12
Primary contact name PAM LENG - TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YENCHEN CHANG
DIRECTOR/EXECUTIVE DIRECTOR
275 TUOLUMNE DRIVE
FREMONT CA 94539-7754

Officer/Director/Trustee Two

MEILAN CHAN
DIRECTOR/SECRETARY
46568 CHAPARRAL DRIVE
FREMONT CA 94539-6951

Officer/Director/Trustee Three

MEILING CHRISTINE LEE
DIRECTOR
33 PALM DRIVE
UNION CITY CA 94587-4240

Officer/Director/Trustee Four

MING DAKE WANG
DIRECTOR
6589 EDGEMOOR WAY
SAN JOSE CA 95129-2932

Officer/Director/Trustee Five

CHUNG CHU MIN
DIRECTOR
567 MONTORI CT
PLEASANTON CA 94566-2130

Organization’s website
Organization’s email HHLCUSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/19
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 YENCHEN CHANG
Signature Title DIRECTOR/EXECUTIVE DIRECTOR
Signature Date 3/15/19

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