FORM 1023-EZ for CAMBODIANS IN TECH

Field Data
EIN 81-3710623
Case Number EO-2016278-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMBODIANS IN TECH
Organization’s Mailing Address 128 SHEFFIELD RD
City ALAMEDA
State CA
ZIP 94502
Accounting period End 12
Primary contact name MAYA GILLISS-CHAPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAYA GILLISS-CHAPMAN
CHIEF EXECUTIVE OFFICER
128 SHEFFIELD RD
ALAMEDA CA 94502

Officer/Director/Trustee Two

SOPHALINE MAO
DIRECTOR
1163 E MARCH LANE SUITE D
STOCKTON CA 95210

Officer/Director/Trustee Three

DAPHNEE LUCENET-PERCHE
DIRECTOR
39700 EUREKA DR
NEWARK CA 94560

Organization’s website WWW.CAMBODIANSINTECH.COM
Organization’s email INFO@CAMBODIANSINTECH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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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