FORM 1023-EZ for HMONG CULTURAL CENTER OF DEL NORTE COUNTY

Field Data
EIN 47-2989909
Case Number EO-2017037-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HMONG CULTURAL CENTER OF DEL NORTE COUNTY
Organization’s Mailing Address 1124 EL DORADO
City CRESCENT CITY
State CA
ZIP 95531
Accounting period End 12
Primary contact name PANG HOUA XIONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PANG HOUA XIONG
PRESIDENT
1675 ARLINGTON DRIVE
CRESCENT CITY CA 95531

Officer/Director/Trustee Two

KHOU VUE
VICE- PRESIDENT
1675 ARLINGTON DRIVE
CRESCENT CITY CA 95531

Officer/Director/Trustee Three

KEVIN CALDWELL
BOARD MEMBER
740 NORTH PEBBLE BEACH
CRESCENT CITY CA 95531

Officer/Director/Trustee Four

STEVE GODLA
BOARD MEMBER
500 KELSEY TRAIL
CRESCENT CITY CA 95531

Officer/Director/Trustee Five

CHUE VUE VANG
BOARD MEMBER
107 ESTA AVENUE
CRESCENT CITY CA 95531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2015
Organization Incorporation State CA
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: No
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 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
Signature Title
Signature Date

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