FORM 1023-EZ for KHMER EDUCATION FOUNDATION INC

Field Data
EIN 26-4226212
Case Number EO-2014269-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KHMER EDUCATION FOUNDATION INC
Organization’s Mailing Address 441 NE 115 STREET
City MIAMI
State FL
ZIP 33161-6659
Accounting period End 12
Primary contact name KEESONGA GORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HARRY ROBERGE
DIRECTOR
441 NE 115 STREET
MIAMI FL 33161-6659

Officer/Director/Trustee Two

CHARLES HUMPHRIES
DIRECTOR
9127 NW 1ST AVENUE
MIAMI SHORES FL 33138-2248

Officer/Director/Trustee Three

LEO LAPLANTE
DIRECTOR
8437 TUTTLE AVENUE UNIT 414
SARASOTA FL 34243-2868

Officer/Director/Trustee Four

LORINE RYDER
DIRECTOR
43 COLONIAL VILLAGE
FALMOUTH ME 04106-1738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 Yes
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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