FORM 1023-EZ for HMONG GEORGIA COMMUNITY INC

Field Data
EIN 61-1801373
Case Number EO-2018107-000598
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HMONG GEORGIA COMMUNITY INC
Organization’s Mailing Address 243 N BROAD STREET SUITE D
City WINDER
State GA
ZIP 30680
Accounting period End 12
Primary contact name NHIA MOUNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NHIA MOUA
PRESIDENT
324 WHITNEY ROAD
JEFFERSON GA 30549

Officer/Director/Trustee Two

ZA VUE
SECRETARY
1000 DOGWOOD ROAD
SNELLVILLE GA 30078

Officer/Director/Trustee Three

HARRY XIONG
TREASURER
47 PRESSLEY ROAD
WINDER GA 30680

Officer/Director/Trustee Four

TRIA YANG
DIRECTOR
4911 LOWER JERSEY ROAD
OXFORD GA 30054

Officer/Director/Trustee Five

MAY MOUA
PUBLIC RELATIONS DIRECTOR
1422 BOX CIRCLE
WINDER GA 30680

Organization’s website WWW.HMONGGA.ORG
Organization’s email INFO@HMONGGA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/16
Organization Incorporation State GA
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 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 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 NHIA MOUA
Signature Title PRESIDENT
Signature Date 3/27/18

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