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CORNERSTONE MEDICAL SERVICES FOUNDATION

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Company Details

Legal Name: CORNERSTONE MEDICAL SERVICES FOUNDATION
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 26th 2010
Expiration date: 31 Oct 2025
UBI Number: 603 058 964
FEIN Number: 27-3832515
Purpose: Our mission is to provide the well-being of our community by providing affordable, quality health care for those with inadequate medical care by using a multidisciplinary and integrative approach, regardless of their ethnic background.
ZIP code: 98037
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 17414 HIGHWAY 99 STE 104, LYNNWOOD, WA, 98037, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 100 CASCADE KY, BELLEVUE, WA, 98006-1004, UNITED STATES

Contact Details

E-Mail: MLEE@COMPUSTAR.COM
mjoocpa@gmail.com
Website: cmsclinic.org
Phone Number: +1 206-218-8887
+1 425-268-2717

Nature of Business

FREE MEDICAL CLINIC FOR UNDERSERVED AND UNDERINSURED

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Registered Agent Information

Name Role Address
M. MIA LEE Registered Agent 100 CASCADE KY, BELLEVUE, WA, 98006-1004, UNITED STATES

Key Officers & Management

Name Role Address
ANGELA LEE Governing Person -
M MIA LEE Governing Person -
CHRISTIAN KIM Governing Person -
HYUNSOOK HWANG Governing Person -
JUNGMIN AHN Initial Board Of Director 407 INDEX PL NE, RENTON, WA, 98056-4026, UNITED STATES
JAI BYEON Initial Board Of Director 16243 SE 362ND ST, FEDERAL WAY, WA, 98092, UNITED STATES
SANG CHAE Initial Board Of Director 10126 NE 66TH LN, KIRKLAND, WA, 98033-6869, UNITED STATES
HYESOOK HA Initial Board Of Director 14620 ADMIRALTY WAY APT L206, LYNNWOOD, WA, 98087, UNITED STATES
CHANG SHIN Initial Board Of Director 4488 FACTORIA BLVD SE, BELLEVUE, WA, 98006-1931, UNITED STATES
SANG CHAE INCORPORATOR 23 LAKE BELLEVUE DR STE 100, BELLEVUE, WA, 98005-2406, UNITED STATES

National Provider Identifier

NPI Number:
1063855690

Authorized Person:

Name:
JAI JUN BYEON
Role:
CHIEF MEDICAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Tax Exempt

Employer Identification Number (EIN):
27-3832515
In Care Of Name:
% SANGHYOU JOO
Ruling Date:
2011-08
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Form 990-N Filings

Tax Year:
2021
Gross Revenue ≤ $50K:
Yes
Terminated:
No
Officer:
JAI JUN BYEON
Tax Period:
2021-01-01
Tax Year:
2020
Gross Revenue ≤ $50K:
Yes
Terminated:
No
Officer:
JAI JUN BYEON
Tax Period:
2020-01-01
Tax Year:
2019
Gross Revenue ≤ $50K:
Yes
Terminated:
No
Officer:
JAI JUN BYEON
Tax Period:
2019-01-01

Copies of Returns

Return Type:
990
Tax Period:
202212
Link:
Return Type:
990
Tax Period:
201812
Link:
Return Type:
990
Tax Period:
201712
Link:

Charity/Fundraiser/Trust

Registration Number:
1134195
Type:
CHARITABLE ORGANIZATION
Status:
Involuntarily Closed
Renewal Date:
2014-11-30

Financial History

Fiscal Begin Date:
2012-01-01
Fiscal End Date:
2012-12-31
Begin Assets:
$17,260.00
Revenue:
$38,250.00
Program Services:
$21,740.00
Expenses:
$24,580.00
End Assets:
$30,930.00
% To Program Services:
88%
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