FORM 1023-EZ for HMONG CRIPPLED CHILDREN CHARITY

Field Data
EIN 82-2224543
Case Number EO-2018292-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HMONG CRIPPLED CHILDREN CHARITY
Organization’s Mailing Address 1712 PIONEER AVE STE 500
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name VANLOAN THI NGUYEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANLOAN THI NGUYEN
PRESIDENT, TREASURER, DIRECTOR
2735 HILLEGASS AVE APT 34
BERKELEY CA 94705

Officer/Director/Trustee Two

TOAN VAN NGO
SECRETARY, DIRECTOR
1712 PIONEER AVE STE 500
CHEYENNE WY 82001

Officer/Director/Trustee Three

HOC VAN NGUYEN
DIRECTOR
1712 PIONEER AVE STE 500
CHEYENNE WY 82001

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/17
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 VANLOAN THI NGUYEN
Signature Title PRESIDENT, TREASURER, DIRECTOR
Signature Date 10/17/18

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