FORM 1023-EZ for ANGKOR ASSOCIATION

Field Data
EIN 47-3510705
Case Number EO-2015321-000065
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGKOR ASSOCIATION
Organization’s Mailing Address 9314 EAGLE CT
City MANASSAS PARK
State VA
ZIP 20111
Accounting period End 12
Primary contact name SAMEDY CHAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMEDY CHAU
PRESIDENT
7305 SNOWDEN CT
SPRINGFIELD VA 22150

Officer/Director/Trustee Two

TOM KEO
CHAIRMAN
4001 HOLLOW CT
CHANTILLY VA 20151

Officer/Director/Trustee Three

CHI HONG
SECRETARY
7608 DUBLIN DR
MANASSAS VA 22554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/1987
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 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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