FORM 1023-EZ for VIRGINIA KOREAN ELDERLY ASSOCIATION

Field Data
EIN 84-4014996
Case Number EO-2019354-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIRGINIA KOREAN ELDERLY ASSOCIATION
Organization’s Mailing Address 6131 WILSTON DRIVE SUITE 2
City FALLS CHURCH
State VA
ZIP 22044
Accounting period End 12
Primary contact name WILLIAM LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAM BAE PARK
PRESIDENT
6925 COLUMBIA PIKE 302
ANNANDALE VA 22003

Officer/Director/Trustee Two

BYUNG YOU
VICE PRESIDENT
4352 CARMELO DRIVE 204
ANNANDALE VA 22003

Officer/Director/Trustee Three

WILLIAM LEE
SECRETARY
6925 COLUMBIA PIKE 427
ANNANDALE VA 22003

Officer/Director/Trustee Four

JIN HONG KIM
DIRECTOR
4009 BARKER COURT 111
FAIRFAX VA 22032

Officer/Director/Trustee Five

SEKWON CHONG
DIRECTOR
5666 WHITE DOVE LANE
CLIFTON VA 20124

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 WILLIAM LEE
Signature Title SECRETARY
Signature Date 12/18/2019

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