FORM 1023-EZ for HOKKA SEN SHIN KAI KENDO DOJO

Field Data
EIN 83-2372391
Case Number EO-2018312-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOKKA SEN SHIN KAI KENDO DOJO
Organization’s Mailing Address 34366 VIESTE TERRACE
City FREMONT
State CA
ZIP 94555
Accounting period End 3
Primary contact name HIROSHI ICHIMURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HIROSHI ICHIMURA
PRESIDENT
34366 VIESTE TERRACE
FREMONT CA 94555

Officer/Director/Trustee Two

MARY VINAS
SECRETARY
854 33RD STREET
OAKLAND CA 94608

Officer/Director/Trustee Three

JASON YANG
TREASURER
1189 YORKSHIRE COURT
CUPERTINO CA 95014

Officer/Director/Trustee Four

PAUL CHANG
DIRECTOR
1860 HOLLYVIEW DRIVE
SAN RAMON CA 94582

Officer/Director/Trustee Five

THOMAS KWON
DIRECTOR
4417 TALLE WAY
DUBLIN CA 94568

Organization’s website WWW.HSSKKENDO.ORG
Organization’s email TEAM@HSSKKENDO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 HIROSHI ICHIMURA
Signature Title PRESIDENT
Signature Date 11/5/18

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