FORM 1023-EZ for PHILIPPINE NURSES ASSOCIATION OF SILICON VALLEY

Field Data
EIN 83-1331806
Case Number EO-2018239-000687
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILIPPINE NURSES ASSOCIATION OF SILICON VALLEY
Organization’s Mailing Address 150 PALM VALLEY BLVD SUITE 2193
City SAN JOSE
State CA
ZIP 95123
Accounting period End 12
Primary contact name RANCELLE ABLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRACE IBE
PRESIDENT
150 PALM VALLEY BLVD SUITE 2193
SAN JOSE CA 95123

Officer/Director/Trustee Two

ORCHID QUITON-CHEFALO
PRESIDENT - ELECT
4379 PALISADE DRIVE
SAN JOSE CA 95111

Officer/Director/Trustee Three

RANCELLE ABLAN
VICE PRESIDENT
4756 17TH STREETH
SAN FRANCISCO CA 94117

Officer/Director/Trustee Four

CARISSE CHAN
SECRETARY
868 SOUTH 5TH STREET
SAN JOSE CA 95112

Officer/Director/Trustee Five

MENCHU MARTIN
TREASURER
6232 W WALBROOK DRIVE
SAN JOSE CA 95129

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 RANCELLE ABLAN
Signature Title VICE PRESIDENT
Signature Date 8/23/18

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