FORM 1023-EZ for DHARMA LIGHT TIBETAN BUDDHIST ASSOCIATION

Field Data
EIN 83-2973520
Case Number EO-2019035-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DHARMA LIGHT TIBETAN BUDDHIST ASSOCIATION
Organization’s Mailing Address 13513 SE 26TH CIRCLE
City VANCOUVER
State WA
ZIP 98683
Accounting period End 12
Primary contact name AMY LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY LEE
SECRETARY
13513 SE 26TH CIRCLE
VANCOUVER WA 98683

Officer/Director/Trustee Two

DAWA LOBSANG
PRESIDENT
13513 SE 26TH CIRCLE
VANCOUVER WA 98683

Officer/Director/Trustee Three

CHARLIE HUANG
MEMBER
13513 SE 26TH CIRCLE
VANCOUVER WA 98683

Officer/Director/Trustee Four

JAMPCHOK NGAWANG
MEMBER
13513 SE 26TH CIRCLE
VANCOUVER WA 98683

Officer/Director/Trustee Five

TENZIN SHERAB
MEMBER
13513 SE 26TH CIRCLE
VANCOUVER WA 98683

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
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 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 AMY LEE
Signature Title SECRETARY
Signature Date 1/9/19

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