FORM 1023-EZ for BHAN HAOW FOUNDATION

Field Data
EIN 83-4064396
Case Number EO-2019098-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BHAN HAOW FOUNDATION
Organization’s Mailing Address 2601 S DAWSON ST
City SEATTLE
State WA
ZIP 98108
Accounting period End 12
Primary contact name SISACK KITNIKONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SISACK KITNIKONE
PRESIDENT
2601 S DAWSON ST
SEATTLE WA 98108

Officer/Director/Trustee Two

SOMOURA SAYACHITH
VICE-PRESIDENT
2600 S DAWSON ST
SEATTLE WA 98108

Officer/Director/Trustee Three

KANYA BROWN
SECRETARY
15754 203RD AVE SE
RENTON WA 98059

Officer/Director/Trustee Four

KIMBERLY KITNIKONE
TREASURY
2601 S DAWSON ST
SEATTLE WA 98108

Officer/Director/Trustee Five

ACKHADET VIRADET
BOARD OF DIRECTOR
5539 20TH AVE S
SEATTLE WA 98108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 SISACK KITNIKONE
Signature Title PRESIDENT
Signature Date 4/5/19

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