FORM 1023-EZ for UNITED FREE LAO INSTITUTE

Field Data
EIN 83-3622014
Case Number EO-2021064-002219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED FREE LAO INSTITUTE
Organization’s Mailing Address PO BOX 2236
City WOONSOCKET
State RI
ZIP 02895
Accounting period End 12
Primary contact name MICHAEL AARONSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANMALA PHONGSAVAN
PRESIDENT
84 LUCILLE STREET
WOONSOCKET RI 02895

Officer/Director/Trustee Two

HOUMPANH JACK BOUNGNASIRI
VICE PRESIDENT
1019 MALLOT DRIVE
SAN JOSE CA 95121

Officer/Director/Trustee Three

MALISSA NGOVANDUC
SECRETARY
1312 17TH STREET NUMBER 706
DENVER CO 80202

Officer/Director/Trustee Four

BOUNCHANH MANISONE
TREASURER
59 NASHAWENA AVENUE
WEST HAVEN CT 06516

Officer/Director/Trustee Five

PHAY SOUKSAVONG
DIRECTOR
103 BROCAN COURT
NOLEVILLE TN 37135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2019
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 VANMALA PHONGSAVAN
Signature Title PRESIDENT
Signature Date 1/14/2021

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