FORM 1023-EZ for LAOTIAN AMERICAN ASSOCIATION OF FLORIDA INC

Field Data
EIN 59-2891844
Case Number EO-2015141-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAOTIAN AMERICAN ASSOCIATION OF FLORIDA INC
Organization’s Mailing Address 3318 38TH STREET NORTH
City SAINT PETERSBURG
State FL
ZIP 33713
Accounting period End 12
Primary contact name OUNESA SENESOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

OUNESA SENESOM
PRESIDENT
3318 38TH ST N
ST. PETERSBURG FL 33713

Officer/Director/Trustee Two

KHAMPHANH INSOUTA
VICE PRESIDENT
5255 101ST AVE N
PINELLAS PARK FL 33782

Officer/Director/Trustee Three

CHEUNE KEOMANY
GENERAL SECRETARY
4108 17TH ST N
ST. PETERSBURG FL 33714

Officer/Director/Trustee Four

TING TESKA
GENERAL SECRETARY
1926 29TH AVE N
PINELLAS PARK FL 33713

Officer/Director/Trustee Five

MARK PHOUTHAVONG
TREASURER
8426 LANTANA DR
SEMINOLE FL 33777

Organization’s website
Organization’s email OSENESOM@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/1981
Organization Incorporation State FL
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: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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