FORM 1023-EZ for DA BAO BUDDHIST TEMPLE INC

Field Data
EIN 81-0848009
Case Number EO-2015355-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DA BAO BUDDHIST TEMPLE INC
Organization’s Mailing Address 1121 OAKLEAF LN
City LAKE CHARLES
State LA
ZIP 70605
Accounting period End 12
Primary contact name LOUIS N WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAM NGUYEN
PRESIDENT
6956 E SAVANNAH LN
LAKE CHALRES LA 70605

Officer/Director/Trustee Two

CHAU NGUYEN
SECRETARY
5820 WEST STEPHIE LN
LAKE CHARLES LA 70605

Officer/Director/Trustee Three

BINH HO
TREASURER
1121 OAKLEAF LN
LAKE CHARLES LA 70605

Officer/Director/Trustee Four

KENNY PHAN
VICE-PRESIDENT
117 W MCNEESE ST
LAKE CHARLES LA 70605

Organization’s website
Organization’s email LWASHINGTON5@COX.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State LA
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 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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