FORM 1023-EZ for SHEN-KU MARTIAL ARTS & COACHING PROGRAM INC

Field Data
EIN 83-2746304
Case Number EO-2019324-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEN-KU MARTIAL ARTS & COACHING PROGRAM INC
Organization’s Mailing Address 2304 GAYLAND RD
City JACKSONVILLE
State FL
ZIP 32218-5112
Accounting period End 12
Primary contact name JILL DISALVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY MITCHELL
PRESIDENT
2151 SOUTH LANE STE 510
JACKSONVILLE FL 32210

Officer/Director/Trustee Two

SANDRA MITCHELL
SECRETARY
2151 SOUTH LANE STE 510
JACKSONVILLE FL 32210

Officer/Director/Trustee Three

YVETTE FRANCIS
DIRECTOR
2151 SOUTH LANE STE 510
JACKSONVILLE FL 32210

Officer/Director/Trustee Four

TYRONE ROYAL
DIRECTOR
2151 SOUTH LANE STE 510
JACKSONVILLE FL 32210

Officer/Director/Trustee Five

WALTER CAPPLES
DIRECTOR
2151 SOUTH LANE STE 510
JACKSONVILLE FL 32210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: Yes
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 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 ANTHONY MITCHELL
Signature Title PRESIDENT
Signature Date 11/18/19

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