FORM 1023-EZ for SIMBA KIA MARTIAL ARTS INSTITUTE INC

Field Data
EIN 83-0597116
Case Number EO-2019331-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMBA KIA MARTIAL ARTS INSTITUTE INC
Organization’s Mailing Address 875 KENNEDY BLVD
City BROOKSVILLE
State FL
ZIP 34601-5789
Accounting period End 12
Primary contact name KARL HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL HOLLAND
PRESIDENT
720 E DR MLK JR BLVD
BROOKSVILLE FL 34601

Officer/Director/Trustee Two

RICHARD HOWELL
VICE PRESIDENT
822 SHAYNE ST
BROOKSVILLE FL 34601

Officer/Director/Trustee Three

MATILDA HOLLAND
TREASURER
720 E DR MLK JR BLVD
BROOKSVILLE FL 34601

Officer/Director/Trustee Four

RICHARD HOWELL
SECRETARY
822 SHAYNE ST
BROOKSVILLE FL 34601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 KARL HOLLAND
Signature Title PRESIDENT
Signature Date 11/25/19

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