FORM 1023-EZ for UNIVERSAL JU-JITSU

Field Data
EIN 47-4029802
Case Number EO-2015156-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIVERSAL JU-JITSU
Organization’s Mailing Address 900 6TH AVE
City SAINT ALBANS
State WV
ZIP 25177
Accounting period End 12
Primary contact name CHET HORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS VANCE
PRESIDENT
505 WASHINGTON AVE
NITRO WV 25213

Officer/Director/Trustee Two

CHET HORTON
VICE PRESIDENT
200 MERCER STREET
BECKLEY WV 25801

Officer/Director/Trustee Three

JERAMIE GIBSON
SECRETARY
107 WESTLAND ESTATES
WINFIELD WV 25213

Officer/Director/Trustee Four

DAVE VANBIBBER
BOARD MEMBER
983 ZERKLE STREET
SAINT ALBANS WV 25177

Officer/Director/Trustee Five

TEVIN OWSLEY
BOARD MEMBER
459 FOREST CIRCLE
SOUTH CHARLESTON WV 25303

Organization’s website WWW.UNIVERSALJUJITSU.COM
Organization’s email CONTACTUS@UNIVERSALJUJITSU.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2013
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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