FORM 1023-EZ for MIETOPHOUM KHMER SPIRIT

Field Data
EIN 47-3585369
Case Number EO-2017135-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIETOPHOUM KHMER SPIRIT
Organization’s Mailing Address 8357 W AGUA FRIA DR
City GOLDEN VALLEY
State AZ
ZIP 86413
Accounting period End 12
Primary contact name SOCHEAT KUCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOCHEAT KUCH
FOUNDER/CEO
8357 W AGUA FRIA DR
GOLDEN VALLEY AZ 86413

Officer/Director/Trustee Two

VOUCHMENG SIENG
CEO
10406 CHESTNUT STREET
BELLFLOWER CA 90706

Officer/Director/Trustee Three

BUNLY BUTH
COO
1400 ATLANTIC AVE 246
LONG BEACH CA 90813

Officer/Director/Trustee Four

LYN TAP
PRESIDENT
15130 FAULKNER AVE
PARAMOUNT CA 90723

Officer/Director/Trustee Five

CHANTHA KUCH
VICE PRESIDENT
1635 E ANAHEIM STREET SUITE C
LONG BEACH CA 90813

Organization’s website WWW.MIETOPHOUMKHMERSPIRIT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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