| Field | Data |
|---|---|
| EIN | 83-2081990 |
| Case Number | EO-2019158-000290 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SOUTH EASTERN SAMBO ASSOCIATION |
| Organization’s Mailing Address | 2802 ALDERMAN CT |
| City | GREENSBORO |
| State | NC |
| ZIP | 27408 |
| Accounting period End | 9 |
| Primary contact name | JENNIFER ROTHROCK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BENJAMIN ROTHROCK
CEO, CHAIRPERSON
2802 ALDERMAN CT
GREENSBORO NC 27408
JENNIFER ROTHROCK
CFO
2802 ALDERMAN CT
GREENSBORO NC 27408
TONY MAYNARD
VOTING MEMBER
324 BARRINGTON PARK LN
KERNERSVILLE NC 27284
KAINOA LI
VOTING MEMBER
95-589 NAHOLOHOLO ST
MILILANI HI 96789
LEO YEFIMOV
VOTING MEMBER
3108 SHADY LANE DR
GREENSBORO NC 27408
| Organization’s website | HTTPS://WWW.SOUTHEASTSAMBO.ORG |
|---|---|
| Organization’s email | JWROTHROCK13@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| 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 | JENNIFER ROTHROCK |
| Signature Title | CFO |
| Signature Date | 6/5/19 |
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