FORM 1023-EZ for MYANMAR SAMARITAN MISSION

Field Data
EIN 47-2030723
Case Number EO-2021264-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYANMAR SAMARITAN MISSION
Organization’s Mailing Address 12158 INDIAN CREEK BLVD
City LAWRENCEVILLE
State IL
ZIP 62439
Accounting period End 12
Primary contact name CING ROOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CING ROOT
SECRETARY
12158 INDIAN CREEK BLVD
PLAINFIELD IL 62439

Officer/Director/Trustee Two

THANG PAU
DIRECTOR & FOUNDER
33 22ND STREET N
BATTLE CREEK MI 49015

Officer/Director/Trustee Three

CARSON ROOT
TRUSTEE
12158 INDIAN CREEK BLVD
LAWRENCEVILLE IL 62439

Officer/Director/Trustee Four

NANG MUNG
TRUSTEE & FACILITATOR
6317 SAINT JAMES DR
INDIANAPOLIS IN 46217

Organization’s website
Organization’s email MSM.CARE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/4/1999
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 Yes
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 CING ROOT
Signature Title SECRETARY
Signature Date 7/12/2021

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