FORM 1023-EZ for NATIONAL LAO AMERICAN ATHLETIC FOUNDATION INC

Field Data
EIN 83-4565411
Case Number EO-2019169-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL LAO AMERICAN ATHLETIC FOUNDATION INC
Organization’s Mailing Address 4131 KNOLLPOINT DRIVE
City WESLEY CHAPEL
State FL
ZIP 33544
Accounting period End 12
Primary contact name SITH A PHOUSIRITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SITH PHOUSIRITH
PRESIDENT
4131 KNOLLPOINT DR
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Two

NGONE L VONGSAVANH
PRESIDENT
1127 DAISY LANE
HICKORY NC 28602

Organization’s website
Organization’s email SITHPH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SITH PHOUSIRITH
Signature Title PRESIDENT
Signature Date 6/15/19

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