FORM 1023-EZ for QUAN AM THIEN TU

Field Data
EIN 47-4814141
Case Number EO-2016029-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUAN AM THIEN TU
Organization’s Mailing Address 1026 FOUNTAIN ROAD
City JACKSONVILLE
State FL
ZIP 32205
Accounting period End 12
Primary contact name PETER TRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BAY NGUYEN
PRESIDENT
1026 FOUNTAIN ROAD
JACKSONVILLE FL 32205

Officer/Director/Trustee Two

HUY NGUYEN
TREASURER
13015 CHELSEA HARBOR DRIVE
JACKSONVILLE FL 32224

Officer/Director/Trustee Three

TOAN DANG
SECRETARY
9242 COLUMBUS AVENUE
NORTH HILLS CA 91343

Officer/Director/Trustee Four

PETER TRAN
AUTHORIZED AGENT
2001 PATERSON ROAD
PROSSER WA 99350-1596

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: Yes
Religious: Yes
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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