FORM 1023-EZ for UNITED HMONG AMERICAN ASSOCIATION INC

Field Data
EIN 45-2632420
Case Number EO-2017065-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED HMONG AMERICAN ASSOCIATION INC
Organization’s Mailing Address 820 SCHELFHOUT LANE
City KIMBERLY
State WI
ZIP 54136
Accounting period End 12
Primary contact name JAMES A BUTTON - ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACIE HOUA HANG
PRESIDENT - DIRECTOR
4325 E BRAEBURN DRIVE
APPLETON WI 54913

Officer/Director/Trustee Two

KOUA THAO
VICE PRESIDENT - DIRECTOR
2625 WHEATFIELD COURT
APPLETON WI 54915

Officer/Director/Trustee Three

BONGIA VAJ HUGUET
SECRETARY - DIRECTOR
1018 S PRAIRIE CREEK DRIVE
NEENAH WI 54956

Officer/Director/Trustee Four

MICHELLE PACKETT
TREASURER - DIRECTOR
W 5759 SKIPPERS LANE
APPLETON WI 54915

Officer/Director/Trustee Five

VISETH VIC MOUA
DIRECTOR
2924 SCHAEFER CIRCLE
APPLETON WI 54915

Organization’s website WWW.UHAA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2011
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
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
Signature Title
Signature Date

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