FORM 1023-EZ for HMONG AMERICAN NATIONAL CHAIRMEN ASSOCIATION INC

Field Data
EIN 81-4381999
Case Number EO-2017138-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HMONG AMERICAN NATIONAL CHAIRMEN ASSOCIATION INC
Organization’s Mailing Address 1506 BUERKLE ROAD SUITE 5
City VADNAIS HEIGHTS
State MN
ZIP 55110
Accounting period End 12
Primary contact name SIA LO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XIONG MOUA
PRESIDENT
1567 MYRTLE STREET N
MAPLEWOOD MN 55119

Officer/Director/Trustee Two

HEU LEE
VICE PRESIDENT
6434 HEARTHSTONE AVE S
COTTAGE GROVE MN 55016

Officer/Director/Trustee Three

TOUFOUNG LOR
SECRETARY
1506 BUERKLE ROAD
VADNAIS HEIGHTS MN 55110

Officer/Director/Trustee Four

THOMAS VUE
TREASURER
1035 BRADLELY AVE
EAU CLAIRE WI 54701

Officer/Director/Trustee Five

SIA LO
EXECUTIVE DIRECTOR
3252 RICE STREET
SAINT PAUL MN 55126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 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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