FORM 1023-EZ for KHMER BUDDHIST ORGANIZATION OF PACIFIC NORTHWEST
| Field | Data |
|---|---|
| EIN | 81-1725587 |
| Case Number | EO-2016256-000391 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KHMER BUDDHIST ORGANIZATION OF PACIFIC NORTHWEST |
| Organization’s Mailing Address | 102 NE 179TH ST |
| City | RIDGEFIELD |
| State | WA |
| ZIP | 98642 |
| Accounting period End | 12 |
| Primary contact name | SOKHA CHHING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SARAVUTHEA MAM
HONORARY PRESIDENT
102 NE 179TH ST
RIDGEFIELD WA 98642
Officer/Director/Trustee Two
CONNIE MOM-CHHING
PRESIDENT
1108 NE 151ST AVE
VANCOUVER WA 98684
Officer/Director/Trustee Three
NATHANIEL MOM
TREASURER
4004 NE 130TH AVE
VANCOUVER WA 98682
Officer/Director/Trustee Four
SOKHA CHHING
SECRETARY
1108 NE 151ST AVE
VANCOUVER WA 98684
Officer/Director/Trustee Five
SING SENG
COMMITTEE PRESIDENT
7528 SW 28TH AVE
PORTLAND OR 97219
| Organization’s website | |
|---|---|
| Organization’s email | CHHINGS@MSN.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/25/2016 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X50 - Buddhist |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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