FORM 1023-EZ for SIENGKANE LAO MN

Field Data
EIN 83-1305800
Case Number EO-2018253-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIENGKANE LAO MN
Organization’s Mailing Address 2614 93RD TRL
City BROOKLYN PARK
State MN
ZIP 55444-1180
Accounting period End 8
Primary contact name APICHART KLAYSINGHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APICHART KLAYSINGHA
PRESIDENT
8974 HORIZON DRIVE
SHAKOPEE MN 55379-8500

Officer/Director/Trustee Two

SOURIYONG SOURIYA
TREASURE
2614 93RD TRL
BROOKLYN PARK MN 55444-1180

Officer/Director/Trustee Three

PHET KHOUNVISETH
VICE PRESIDENT
2800 WEST 106TH STREET
BLOOMINGTON MN 55431-3718

Officer/Director/Trustee Four

BEY PHOTHISANE
SECRETARY
4764 BULRUSH BLVD
SHAKOPEE MN 55379-5829

Officer/Director/Trustee Five

JUDE BOUTHSARATH
CULTURE & COMMUNITY DEVELOPMENT
3925 94TH AVENUE NORTH
BROOKLYN PARK MN 55443-1859

Organization’s website N/A
Organization’s email APICHART.KLAYSINGHA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 No
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 No
Correctness Declaration Yes
Signature Name APICHART KLAYSINGHA
Signature Title PRESIDENT
Signature Date 9/6/18

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