| Field | Data |
|---|---|
| EIN | 47-3523643 |
| Case Number | EO-2015103-000117 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMBODIA CLEAN WATER |
| Organization’s Mailing Address | 1512 W FAIRWAY DRIVE |
| City | SPOKANE |
| State | WA |
| ZIP | 99218 |
| Accounting period End | 12 |
| Primary contact name | DANIEL P HARBAUGH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
DANIEL HARBAUGH
PRESIDENT
1512 W FAIRWAY DRIVE
SPOKANE WA 99218
FRANK MARTIN
VICE PRESIDENT OF US OPERATIONS
3913 RUTTER PARKWAY
SPOKANE WA 99208
KAREN MARTIN
SECRATARY
3913 RUTTER PARKWAY
SPOKANE WA 99208
R H BOB COOKE
TREASURER
503 E 2ND AVE
SPOKANE WA 99202
LY HEANG
VP OF CAMBODIAN OPERATIONS
BATNTEY CHAS VILLAGE HOUSE 22
SIEM REAP, CAMBODIA
| Organization’s website | HTTP://WWW.CAMBODIACLEANWATER.ORG/ |
|---|---|
| Organization’s email | INFO@CAMBODIACLEANWATER.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/23/2015 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C32 - Water Resource, Wetlands Conservation and Management |
| 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 | Yes |
| 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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