FORM 1023-EZ for VIETNAMESE ELDER ASSOCIATIONSOUTH ATLANTA INC

Field Data
EIN 36-4808186
Case Number EO-2015128-000458
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIETNAMESE ELDER ASSOCIATIONSOUTH ATLANTA INC
Organization’s Mailing Address 4831 HENDRIX DR
City FOREST PARK
State GA
ZIP 30297
Accounting period End 12
Primary contact name PHONG DUONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHU HO
PRESIDENT
1521 VALLEY GREEN
CONLEY GA 30288

Officer/Director/Trustee Two

HAI NGUYEN
VICE-PRESIDENT
3742 BONNELL CT
REX GA 30273

Officer/Director/Trustee Three

NAM LE
SECRETARY
55 WINDSOR WAY
RIVERDALE GA 30274

Officer/Director/Trustee Four

MAO NGUYEN
TREASURER
10265 LITTLE BROOK CT
JONESBORO GA 30238

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2015
Organization Incorporation State GA
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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