FORM 1023-EZ for CHITTRAPHONE OUTAMA KHAMPRADITH FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-2160962 |
| Case Number | EO-2019288-000161 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHITTRAPHONE OUTAMA KHAMPRADITH FOUNDATION |
| Organization’s Mailing Address | 16419 28TH DR SE |
| City | BOTHELL |
| State | WA |
| ZIP | 98012 |
| Accounting period End | 12 |
| Primary contact name | SIRI MARTINET |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SIRI MARTINET
EXECUTIVE DIRECTOR
16419 28TH DR SE
BOTHELL WA 98012
Officer/Director/Trustee Two
WILLIAM KHAMPRADITH
BOARD MEMBER
917 28TH PLACE
RENTON WA 98056
Officer/Director/Trustee Three
INNISONG AMORASIN
CO TREASURER
13542 MACADAM RD S
TUKWILA WA 98168
Officer/Director/Trustee Four
SOURIYA KONGMANIVONG
CO TREASURER
16906 46TH PLACE S
SEATAC WA 98188
Officer/Director/Trustee Five
DENNIS SIKHANTHATH
BOARD MEMBER
2841 S COLUMBIAN WA
SEATTLE WA 98108
| Organization’s website | POMFOUNDATION.ORG |
|---|---|
| Organization’s email | SIRIMARTINET@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/15/16 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A26 - Arts Council/Agency |
| 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 | Yes |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SIRI MARTINET |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 10/9/19 |
| EIN | 81-2160962 |
| Case Number | EO-2016102-000443 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHITTRAPHONE OUTAMA KHAMPRADITH FOUNDATION |
| Organization’s Mailing Address | 28310 52ND AVE S |
| City | AUBURN |
| State | WA |
| ZIP | 98001-1922 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM KHAMPRADITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
WILLIAM KHAMPRADITH
DIRECTOR/PRESIDENT
28310 52ND AVE S
AUBURN WA 98001-1922
Officer/Director/Trustee Two
INNISONG AMORASIN
TREASURER
13542 MACADAM RD S
SEATTLE WA 98168
Officer/Director/Trustee Three
DENNIS SIKHANTHAT
VICE PRESIDENT
2841 S COLUMBIAN WAY
SEATTLW WA 98108
Officer/Director/Trustee Four
OLIVA SENGSI
SECRETARY
4821 26TH AVE SW
SEATTLE WA 98106
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/3/2016 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A99 - Arts, Culture, and Humanities N.E.C. |
| 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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