FORM 1023-EZ for LOVE FOR CAMBODIA

Field Data
EIN 85-0605237
Case Number EO-2020097-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE FOR CAMBODIA
Organization’s Mailing Address 5683 SAPPHIRE LOOP
City ANCHORAGE
State AK
ZIP 99504
Accounting period End 12
Primary contact name MIKE BELLONI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BELLONI
PRESIDENT
5683 SAPPHIRE LOOP
ANCHORAGE AK 99504

Officer/Director/Trustee Two

KIRSTEN BELLONI
VICE PRESIDENT
5683 SAPPHIRE LOOP
ANCHORAGE AK 99504

Officer/Director/Trustee Three

HEAVEN BROCK
SECRETARY
5683 SAPPHIRE LOOP
ANCHORAGE AK 99504

Organization’s website FROMTHEBACKOFTHETUKTUK.COM
Organization’s email KMBELLONI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Financial transactions with officers Yes
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 MICHAEL BELLONI
Signature Title PRESIDENT
Signature Date 4/2/2020

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