FORM 1023-EZ for WAT THAI BUDDHIST MEDITATION OF CALIFORNIA

Field Data
EIN 83-2476344
Case Number EO-2018320-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAT THAI BUDDHIST MEDITATION OF CALIFORNIA
Organization’s Mailing Address 41220 CHESTNUT ST
City PALMDALE
State CA
ZIP 93551
Accounting period End 12
Primary contact name KATIE BORDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SRIWONG KOZIEL
CFO
12822 STRATHERN ST
NORTH HOLLYWOOD CA 91605

Officer/Director/Trustee Two

WIN BOON
CEO
17212 WEST MARYLAND AVE
WADDELL AZ 85355

Officer/Director/Trustee Three

SURASAK WONGKHALUANG
SECRETARY
1123 VINE ST ST 6A
LOS ANGELES CA 90038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 SRIWONG KOZIEL
Signature Title CFO
Signature Date 11/14/18

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