FORM 1023-EZ for VIETNAM PEOPLES SELF-DETERMINATIONFOUNDATION VIETNAM DAN TOC TU QUYET

Field	Data
EIN	83-2413568
Case Number	EO-2019028-000064
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	VIETNAM PEOPLES SELF-DETERMINATIONFOUNDATION VIETNAM DAN TOC TU QUYET
Organization’s Mailing Address	15751 BROOKHURST ST/STE 210
City	WESTMINSTER
State	CA
ZIP	92683-7568
Accounting period End	12
Primary contact name	DOMINIC TRAN
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

DOMINIC TRAN
PRESIDENT
15751 BROOKHURST ST/ STE 210
WESTMINSTER CA 92683-7568

Officer/Director/Trustee Two

TRAN TUAN
FIRST VICE PRESIDENT
15751 BROOKHURST ST/ STE 210
WESTMINSTER CA 92683-7568

Officer/Director/Trustee Three

THOMAS LE
SECOND VICE PRESIDENT
15751 BROOKHURST ST/ STE 210
WESTMINSTER CA 92683-7568

Officer/Director/Trustee Four

TRAN NGA
SECRETARY
15751 BROOKHURST ST/ STE 210
WESTMINSTER CA 92683-7568

Officer/Director/Trustee Five

HUONG TRAN
TREASURER
15751 BROOKHURST ST/ STE 210
WESTMINSTER CA 92683-7568

Organization’s website	HTTP://WWW.VNDANTOCTQ.COM
Organization’s email	VIETNAMPSDF@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	7/27/18
Organization Incorporation State	CA
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	W99 - Public, Society Benefit - Multipurpose and Other 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	DOMINIC TRAN
Signature Title	PRESIDENT
Signature Date	12/12/18
EIN	83-2413568
Case Number	EO-2019028-000064
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	VIETNAM PEOPLES SELF-DETERMINATION FOUNDATION VIETNAM DAN TOC TU QUYET
Organization’s Mailing Address	15751 BROOKHURST ST/STE 210
City	WESTMINSTER
State	CA
ZIP	92683-7568
Accounting period End	12
Primary contact name	DOMINIC TRAN
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00