FORM 1023-EZ for HMONG FOUNDATION NORTHWEST
| Field | Data |
|---|---|
| EIN | 83-0903206 |
| Case Number | EO-2019112-000742 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HMONG FOUNDATION NORTHWEST |
| Organization’s Mailing Address | 3051 218TH AVE SE |
| City | SAMMAMISH |
| State | WA |
| ZIP | 98075 |
| Accounting period End | 12 |
| Primary contact name | TOM CLARY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PHONG CHA
EXECUTIVE DIRECTOR
8704 MAPLE AVE UNIT 1
SNOQUALMIE WA 98065
Officer/Director/Trustee Two
TOM CLARY
DIRECTOR/SECRETARY
3051 218TH AVE SE
SAMMAMISH WA 98075
Officer/Director/Trustee Three
JEFF STROLE
DIRECTOR/TREASURER
461 COTTONTAIL LANE
ELLENSBURG WA 98926
Officer/Director/Trustee Four
DAVID RICHTER
DIRECTOR/MEMBER AT LARGE
2571 NW ALPINE CREST WAY
ISSQUAH WA 98027
Officer/Director/Trustee Five
NONE NONE
NONE
NONE
NONE WA 99999
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/25/18 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Q30 - International Development, Relief Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | TOM CLARY |
| Signature Title | DIRECTOR/SECRETARY |
| Signature Date | 4/19/19 |
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