FORM 1023-EZ for HMONG TSEV SAM TXHEEJ INC

Field Data
EIN 84-2493602
Case Number EO-2019214-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HMONG TSEV SAM TXHEEJ INC
Organization’s Mailing Address 1259 GERVAIS AVE
City MAPLEWOOD
State MN
ZIP 55109
Accounting period End 12
Primary contact name GER XIONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLONG MOUA
PRESIDENT
2307 ALDRICH AVE NORTH
MINNEAPOLIS MN 55411

Officer/Director/Trustee Two

KAHOUA YANG
DIRECTORS
2240 99TH ST E
INVER GROVE HEIGHTS MN 55077

Officer/Director/Trustee Three

GER XIONG
SECRETARY
444 LAFOND AVE
SAINT PAUL MN 55103

Officer/Director/Trustee Four

SER LEE
TRUSTEES
2735 13TH AVE SOUTH
MINNEAPOLIS MN 55407

Officer/Director/Trustee Five

SHOUA XUE LEE
TRUSTEES
568 THOMAS AVE
SAINT PAUL MN 55103

Organization’s website
Organization’s email HMONGTST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 BLONG MOUA
Signature Title PRESIDENT
Signature Date 7/31/19

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