FORM 1023-EZ for FOUNDATION OF KHMER SAMAKI
| Field | Data |
|---|---|
| EIN | 47-1242871 |
| Case Number | EO-2014261-000354 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUNDATION OF KHMER SAMAKI |
| Organization’s Mailing Address | 12338 CROWN CT |
| City | CERRITOS |
| State | CA |
| ZIP | 90703-7145 |
| Accounting period End | 12 |
| Primary contact name | EDWARD KEOPONG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LARRY SITHAL SAR
DIRECTOR
1715 E WASHINGTON ST
LONG BEACH CA 90805-5534
Officer/Director/Trustee Two
HAK UM
DIRECTOR
11102 LIVERPOOL LN
RIVERSIDE CA 92503-5881
Officer/Director/Trustee Three
CHHENG HEAT LEAO
DIRECTOR
2440 E VANOWEN AVE
ORANGE CA 92867-4469
Officer/Director/Trustee Four
EDWARD KEOPONG
PRESIDENT
1603 E 68TH ST
LONG BEACH CA 90805-1612
Officer/Director/Trustee Five
HARRY SAMAT
SECRETARY
12338 CROWN CT
CERRITOS CA 90703-7145
| Organization’s website | |
|---|---|
| Organization’s email | KHMER_EMPIRE7@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/30/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| 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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