FORM 1023-EZ for LAO AMERICANS FOR LAOTIAN HUMAN RIGHTS INC

Field Data
EIN 47-4938565
Case Number EO-2015246-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAO AMERICANS FOR LAOTIAN HUMAN RIGHTS INC
Organization’s Mailing Address 105 LANE XANG ROAD
City GASTONIA
State NC
ZIP 28056
Accounting period End 12
Primary contact name SOUTHY CHITTAMATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SOUTHY CHITTAMATH
PRESIDENT
105 LANE XANG ROAD
GASTONIA NC 28056

Officer/Director/Trustee Two

VONGVISAY THANADABOUTH
VICE PRESIDENT
4613 BOMAR DRIVE
CHARLOTTE NC 28216

Officer/Director/Trustee Three

KHAMPAN CHANTHAKOUMAN
CO-TREASURER
6109 EAGLE PEAK DRIVE
CHARLOTTE NC 28214

Officer/Director/Trustee Four

KHEM CHANTHAKOUMAN
CO-TREASURER
6109 EAGLE PEAK DRIVE
CHARLOTTE NC 28214

Officer/Director/Trustee Five

BOUNMY BOUAPHANH
SECRETARY
ROCKLAKE DRIVE
CHARLOTTE NC 28214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q70 - International Human Rights
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 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 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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