FORM 1023-EZ for CAMBODIAN CULTURAL CENTER OF NC

Field Data
EIN 47-4077086
Case Number EO-2016215-000005
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMBODIAN CULTURAL CENTER OF NC
Organization’s Mailing Address 498 N KOONTZ ROAD
City LEXINGTON
State NC
ZIP 27295
Accounting period End 7
Primary contact name KIMHUN THIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOKNANG CHEA
PRESIDENT
498 N KOONTZ ROAD
LEXINGTON NC 27295

Officer/Director/Trustee Two

KIMHUN THIT
VICE PRESIDENT / SECRETARY
498 N KOONTZ RD
LEXINGTON NC 27295

Officer/Director/Trustee Three

GEANA TENN
TREASURER
498 N KOONTZ RD
LEXINGTON NC 27295

Officer/Director/Trustee Four

SOKCHEAT CHIEP
ASSISTANT SECRETARY
498 N KOONTZ RD
LEXINGTON NC 27295

Officer/Director/Trustee Five

TRACY PHAN
ASSISTANT TREASURER
498 N KOONTZ RD
LEXINGTON NC 27295

Organization’s website WWW.FACEBOOK.COM/CCCOFNC
Organization’s email KTHIT2604@DAVIDSONCCC.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: Yes
Religious: No
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
Signature Title
Signature Date

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