FORM 1023-EZ for CAMBODIAN AMERICAN COMMUNITY COUNCIL OF WASHINGTON
| Field | Data |
|---|---|
| EIN | 84-2587937 |
| Case Number | EO-2020220-000330 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMBODIAN AMERICAN COMMUNITY COUNCIL OF WASHINGTON |
| Organization’s Mailing Address | P O BOX 88701 |
| City | TUKWILA |
| State | WA |
| ZIP | 98188-9997 |
| Accounting period End | 12 |
| Primary contact name | POLINE PAK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMETH MELL
CHAIR
426 BURNETT AVE N APT 2
RENTON WA 98057
Officer/Director/Trustee Two
SAVONG LAM
VICE-CHAIR
8510 43RD ST
UNIVERSITY PLACE WA 98466
Officer/Director/Trustee Three
POLINE PAK
TREASURER
4033 E C ST
TACOMA WA 98404
Officer/Director/Trustee Four
CHANDA MAK
SECRETARY
16021 48TH AVE S
TUKWILA WA 98188
| Organization’s website | |
|---|---|
| Organization’s email | CACCWA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/4/2020 |
| Organization Incorporation State | WA |
| 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: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | POLINE PAK |
| Signature Title | TREASURER |
| Signature Date | 8/5/2020 |
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