FORM 1023-EZ for SPIRIT CAMBODIA CULTURAL ALLIANCE INC

Field Data
EIN 82-4643774
Case Number EO-2018183-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRIT CAMBODIA CULTURAL ALLIANCE INC
Organization’s Mailing Address 19232 E BAKER PL
City AURORA
State CO
ZIP 80013
Accounting period End 12
Primary contact name ANTHONY BUI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PETERSEN
PRESIDENT
19232 E BAKER PL
AURORA CO 80013

Officer/Director/Trustee Two

ANTHONY BUI
TREASURER
19232 E BAKER PL
AURORA CO 80013

Officer/Director/Trustee Three

JASMINE FENDER
SECRETARY
19232 E BAKER PL
AURORA CO 80013

Organization’s website
Organization’s email ANTHONY.BUI06@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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 Yes
Correctness Declaration Yes
Signature Name ANTHONY BUI
Signature Title TREASURER
Signature Date 6/30/18

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